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Individual

KRISTIN FULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2051 GREENHOUSE RD STE 120, HOUSTON, TX 77084-7305
(281) 492-7676
(281) 492-8133
Mailing address
2051 GREENHOUSE RD STE 120, HOUSTON, TX 77084-7305
(281) 492-7676
(281) 492-8133

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
670351
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
670351
TX

Other

Enumeration date
05/23/2014
Last updated
11/22/2024
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