Individual
ANDREW M READ-FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3302 GASTON AVE, DALLAS, TX 75246-2013
(212) 828-8965
Mailing address
1855 PAYNE ST APT 619, DALLAS, TX 75201-2577
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
R2208
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2011
Last updated
02/04/2026
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