Individual
MRS. TRACIE P FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
15500 VOSS RD # 1114, SUGAR LAND, TX 77498-4601
(346) 432-7892
Mailing address
2823 E BIRCHDALE DR, MISSOURI CITY, TX 77489-6057
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
L4Y6J7Y6
TX
Other
Enumeration date
03/10/2023
Last updated
03/13/2023
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