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Organization
FAITH MEDICAL CLINIC, PLLC
Active
Organization
FAITH MEDICAL CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA R FULLER FNP (OWNER)
(806) 557-4138
Entity
Organization
Contact information
Practice address
1205 23RD ST STE 6, CANYON, TX 79015-5331
(806) 557-4674
Mailing address
PO BOX 1614, CANYON, TX 79015-1614
(806) 557-4138
(806) 557-4165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP118557
TX
Other
Enumeration date
05/15/2014
Last updated
09/08/2026
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