Individual
DR. CHRISTOPHER G. FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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