Individual
BRITTANY RENEA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
734 E QUINLAN PKWY STE A, QUINLAN, TX 75474-8640
(903) 356-2144
(903) 356-3025
Mailing address
4215 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7852
(903) 408-5834
(903) 408-5693
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04510
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1067801
NCCPA
—
Enumeration date
07/14/2006
Last updated
04/29/2026
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