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Organization

STEPHANIE C FULTON, MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHANIE CAROL FULTON MD (PRESIDENT)
(713) 880-2727
Entity
Organization

Contact information

Practice address
1740 W 27TH ST, 301, HOUSTON, TX 77008-1440
(713) 880-2727
(713) 880-1643
Mailing address
1740 W 27TH ST, 301, HOUSTON, TX 77008-1440
(713) 880-2727
(713) 880-1643

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F9455
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03161760O1
TX
01
1306982061
NPPES
TX
Enumeration date
12/09/2011
Last updated
11/30/2012
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