Individual
NISSA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RD, CSG
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-4141
Mailing address
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
37003451A
IN
133V00000X
Registered Dietitian
Primary
DT88296
TX
133V00000X
Registered Dietitian
DX4280
MD
Other
Enumeration date
02/24/2019
Last updated
02/07/2025
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