Individual
CHRIS FILLERUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3431
(817) 927-3603
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-2450
(817) 702-8445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015091
NY
363A00000X
Physician Assistant
10004808A
IN
363A00000X
Physician Assistant
Primary
PA09671
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03436853
—
NY
Enumeration date
09/22/2011
Last updated
07/15/2025
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