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Individual

DR. CHRISTOPHER G. FULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4517 98TH ST, LUBBOCK, TX 79424-5013
(806) 792-0086
(806) 792-2446
Mailing address
4517 98TH ST, LUBBOCK, TX 79424-5013
(806) 792-0086
(806) 792-2446

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M6622
TX
207W00000X
Ophthalmology Physician
MD2009-0622
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08484066
NM
05
186504007
TX
05
186504008
TX
05
186504009
TX
Enumeration date
01/25/2007
Last updated
03/17/2018
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