Individual
RAYMOND R FULP III
Active
Individual
RAYMOND R FULP III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
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
Update your record
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