Individual
DEBORAH A FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7777 FOREST LN STE B430, DALLAS, TX 75230-2530
(214) 887-6100
(214) 826-7927
Mailing address
7777 FOREST LN STE 400, DALLAS, TX 75230-2571
(214) 887-6100
(214) 826-7927
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G8117
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098466802
—
TX
Enumeration date
07/12/2006
Last updated
08/30/2018
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