Organization
THOMAS W. FULBRIGHT M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN APPLEBY M.B.A. (OFFICE MANAGER)
(913) 261-2222
Entity
Organization
Contact information
Practice address
8901 W 74TH ST, SHAWNEE MISSION, KS 66204-2204
(913) 261-2222
(913) 261-2229
Mailing address
8901 W 74TH ST, SUITE 2, SHAWNEE MISSION, KS 66204-2204
(913) 261-2222
(913) 261-2229
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0421442
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39376012
BLUE CROSS BLUE SHIELD KC
KS
Enumeration date
12/03/2007
Last updated
09/12/2011
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