Daphne D Fullerton, MD | |
803 W Lampasas St, Ennis, TX 75119-4535 | |
(800) 893-9698 | |
Not Available |
Full Name | Daphne D Fullerton |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 803 W Lampasas St, Ennis, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609908490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | L8244 (Texas) | Primary |
Entity Name | Century Integrated Partners, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
Entity Name | Integrative Emergency Services Physician Group-houston Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208 |
Entity Name | Ies Mobile Medicine Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992320758 PECOS PAC ID: 2466878624 Enrollment ID: O20200818003032 |
Mailing Address | Practice Location Address |
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Daphne D Fullerton, MD 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: () - | Daphne D Fullerton, MD 803 W Lampasas St, Ennis, TX 75119-4535 Ph: (800) 893-9698 |
Craig S Yetter, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2203 W Lampasas St Ste 202, Ennis, TX 75119 Phone: 972-875-8833 Fax: 972-875-8866 | |
Dr. Neal A Zeigler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 Dolfie Ln, Suite 101, Ennis, TX 75119 Phone: 972-875-4500 |