Individual
DEVON FULBRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 OAKWELL CT STE 102, SAN ANTONIO, TX 78218-3075
(210) 832-9993
Mailing address
23139 ANGOSTURA BLVD, SAN ANTONIO, TX 78261-2619
(210) 452-0842
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33019
TX
Other
Enumeration date
04/02/2017
Last updated
03/25/2019
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