Individual
MRS. CAROLYN N FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
4907 PARKSIDE DR, TEMPLE, TX 76502-5707
(254) 654-0404
Mailing address
4907 PARKSIDE DR, TEMPLE, TX 76502-5707
(254) 654-0404
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00205
TX
Other
Enumeration date
08/16/2006
Last updated
04/24/2009
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