Individual
ANNE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3501 N MACARTHUR BLVD STE 500, IRVING, TX 75062-3675
(972) 256-3700
(866) 630-6348
Mailing address
PO BOX 612526, DALLAS, TX 75261-2526
(972) 256-3700
(866) 630-6348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14563
TX
Other
Enumeration date
03/16/2021
Last updated
05/10/2021
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