Dr Christopher Kenton Fuller, MD | |
1615 Hospital Pkwy Ste 306, Bedford, TX 76022-5936 | |
(817) 684-5100 | |
(817) 684-5101 |
Full Name | Dr Christopher Kenton Fuller |
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Gender | Male |
Speciality | Dermatology |
Experience | 22 Years |
Location | 1615 Hospital Pkwy Ste 306, Bedford, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962466961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 50083 (Wisconsin) | Secondary |
207N00000X | Dermatology | N8649 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Epiphany Dermatology Pa | 3971827791 | 68 |
Entity Name | Epiphany Dermatology Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043615263 PECOS PAC ID: 3971827791 Enrollment ID: O20150126001498 |
Mailing Address | Practice Location Address |
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Dr Christopher Kenton Fuller, MD 7300 Ranch Road 2222, Building 1, Ste 200, Austin, TX 78730 Ph: (512) 628-0465 | Dr Christopher Kenton Fuller, MD 1615 Hospital Pkwy Ste 306, Bedford, TX 76022-5936 Ph: (817) 684-5100 |
Shaun Daniel Cooper, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1600 Central Dr Ste 158, Bedford, TX 76022 Phone: 817-736-2912 Fax: 817-736-2912 | |
George C Baker, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1615 Hospital Parkway, Suite 306, Bedford, TX 76022 Phone: 817-684-5106 Fax: 817-684-5120 | |
Calvin Lamont Williams, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1600 Central Drive, Ste 158, Bedford, TX 76022 Phone: 817-736-2912 Fax: 817-736-2912 | |
John David Miller, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1615 Hospital Parkway, Suite 306, Bedford, TX 76022 Phone: 817-684-5106 Fax: 817-684-5120 | |
Dr. Jorge Roman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1615 Hospital Pkwy Ste 306, Bedford, TX 76022 Phone: 817-684-5100 |