Individual
MATTHEW R FULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3431
Mailing address
PO BOX 732973, DALLAS, TX 75373-4658
(817) 702-2140
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
R8895
TX
Other
Enumeration date
04/25/2012
Last updated
05/10/2024
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