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Individual

DR. STEPHANIE CAROL FULTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

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

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A09P
BLUE CROSS
TX
01
10015566
AMERIGROUP
TX
Enumeration date
01/29/2007
Last updated
08/18/2007
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