Individual
YOLANDA FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO, LPO
Contact information
Practice address
11155 MAIN ST, HOUSTON, TX 77025-5600
(713) 474-4171
(713) 747-4249
Mailing address
11155 MAIN ST, HOUSTON, TX 77025-5600
(713) 474-4171
(713) 747-4249
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
9
TX
224P00000X
Prosthetist
Primary
9
TX
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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