Dr Joe Bryan Fulgham Jr, DDS is a
Dentist based in Brownsboro, Texas. Dr Joe Bryan Fulgham Jr is licensed to practice in Texas (license number 10399) and his current practice location is
14268 Highway 31, Brownsboro, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 852-3278.
NPI number for Dr Joe Bryan Fulgham Jr is 1083702443 and his current mailing address is Po Box 517, Brownsboro, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083702443.
Healthcare Provider's Profile
| Full Name | Dr Joe Bryan Fulgham Jr |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 14268 Highway 31, Brownsboro, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083702443
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Joe Bryan Fulgham Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083702443 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 10399 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Joe Bryan Fulgham Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Joe Bryan Fulgham Jr, DDS
Po Box 517,
Brownsboro, TX 75756-0517
Ph: (903) 852-3278 | Dr Joe Bryan Fulgham Jr, DDS
14268 Highway 31,
Brownsboro, TX 75756-0517
Ph: (903) 852-3278 |
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