Individual
DR. HEATHER DENKHAUS FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
302 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0200
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
200301355
NC
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L6029
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1354G
BCBS
—
01
—
198455
MEDCOST
—
01
—
2300598
UNITED HEALTHCARE
—
01
—
576657
CIGNA
—
01
—
77686389
AETNA
—
01
—
806538
PARTNERS
—
05
—
891354G
—
NC
01
—
P00315775
MEDICARE RAILROAD
—
Enumeration date
07/17/2006
Last updated
12/07/2021
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