Organization
CHARLES W. FULLER, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES W FULLER MD (PHYSICIAN/OWNER)
(325) 675-0338
Entity
Organization
Contact information
Practice address
1933 PINE ST, SUITE B, ABILENE, TX 79601-2431
(325) 675-0338
(325) 676-5049
Mailing address
1933 PINE ST, SUITE B, ABILENE, TX 79601-2431
(325) 675-0338
(325) 676-5049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F3971
TX
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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