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Individual

VICKI FULLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4821 AUSTIN ST, HOUSTON, TX 77004-5648
(713) 653-3072
Mailing address
4821 AUSTIN ST, HOUSTON, TX 77004-5648
(713) 653-3072

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
246ZE0600X
TX

Other

Enumeration date
03/08/2016
Last updated
03/08/2016
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