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Individual

DR. GRACE FULTANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, PMHNP-BC

Contact information

Practice address
10054 WESTERN HILLS DR, FRISCO, TX 75033-8399
(443) 759-1746
(443) 759-1746
Mailing address
10054 WESTERN HILLS DR, FRISCO, TX 75033-8399
(443) 759-1746
(443) 759-1746

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1052614
TX

Other

Enumeration date
06/21/2012
Last updated
03/13/2023
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