Organization
PEAK WILDERNESS AND SPORTS MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER FULLERTON MD (MANAGING MEMBER)
(512) 721-8371
Entity
Organization
Contact information
Practice address
1800 HERITAGE BLVD, MIDLAND, TX 79707-9750
(432) 520-1600
Mailing address
10 DEER RUN DR, ALPINE, TX 79830-5156
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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