Mary Ann Fuller, RD LD is a
Dietitian, Registered based in Lake Dallas, Texas. Mary Ann Fuller is licensed to practice in Texas (license number DT05158) and her current practice location is
415 Springtree Rd, Lake Dallas, Texas. She can be reached at her office (for appointments etc.) via phone at
(214) 725-9702.
NPI number for Mary Ann Fuller is 1013113133 and her current mailing address is 415 Springtree Rd, Lake Dallas, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013113133.
Healthcare Provider's Profile
| Full Name | Mary Ann Fuller |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
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| Location | 415 Springtree Rd, Lake Dallas, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013113133
- Provider Enumeration Date: 06/25/2007
- Last Update Date: 08/04/2015
Medical Identifiers
Medical identifiers for Mary Ann Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013113133 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | DT05158 (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. Mary Ann Fuller 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 |
|---|
Mary Ann Fuller, RD LD
415 Springtree Rd,
Lake Dallas, TX 75065-2392
Ph: (214) 725-9702 | Mary Ann Fuller, RD LD
415 Springtree Rd,
Lake Dallas, TX 75065-2392
Ph: (214) 725-9702 |
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