Individual
MARY ELIZABETH FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
800 MEDICAL CENTER DR STE C, DECATUR, TX 76234-3844
(940) 626-2110
Mailing address
779 GRAPEVINE HWY, HURST, TX 76054-2805
(817) 428-7300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP145920
TX
Other
Enumeration date
05/11/2020
Last updated
03/19/2025
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