Individual
DR. TIMOTHY FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9600 N CENTRAL EXPY, SUITE 100, DALLAS, TX 75231-5082
(214) 692-6941
Mailing address
9600 N CENTRAL EXPY, SUITE 100, DALLAS, TX 75231-5082
(214) 692-6941
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
Q0438
TX
Other
Enumeration date
03/01/2012
Last updated
08/12/2014
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