Organization
NORMA J FUELBERTH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMA J FUELBERTH MD (OWNER)
(972) 875-9494
Entity
Organization
Contact information
Practice address
805 W LAMPASAS ST, ENNIS, TX 75119-4535
(972) 875-9494
(972) 878-0689
Mailing address
805 W LAMPASAS ST, ENNIS, TX 75119-4535
(972) 875-9494
(972) 878-0689
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J0493
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033688501
—
TX
Enumeration date
01/12/2009
Last updated
05/01/2012
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