Individual
ADAM MICHAEL FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
422 S HILLCREST DR, SULPHUR SPRINGS, TX 75482-3661
(903) 885-2820
Mailing address
1870 ENGLISH RD, ROCKWALL, TX 75032-8290
(214) 558-6857
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA15203
TX
Other
Enumeration date
11/30/2021
Last updated
12/04/2024
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