Individual
GRIFFIN LOWE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 WILLIAMS DR STE 285, GEORGETOWN, TX 78633-1339
(512) 869-4800
(512) 868-8801
Mailing address
825 E RUNDBERG LN STE B1, AUSTIN, TX 78753-4860
(512) 978-9600
(512) 901-9771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11018498A
IN
207Q00000X
Family Medicine Physician
S3661
TX
207R00000X
Internal Medicine Physician
Primary
S3661
TX
Other
Enumeration date
03/23/2015
Last updated
10/02/2025
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