Individual
RAYMOND R FULP III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
721 LINDBERG AVE, MCALLEN, TX 78501-2913
(956) 668-7746
(956) 668-8338
Mailing address
721 LINDBERG AVE, MCALLEN, TX 78501-2913
(956) 668-7746
(956) 668-8338
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J7963
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046982702
CSHCN
TX
01
—
123586
CHIPS
TX
05
—
129886107
—
TX
01
—
142047100
VALLEY HEALTH PLANS
TX
01
—
200046413
RAILROAD MEDICARE
TX
01
—
201350018
TAX ID
TX
01
—
4103818
BLUELINK
TX
01
—
5197053
AETNA
TX
01
—
8H9770
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/01/2005
Last updated
07/31/2013
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