Charles W. Fuller, Md | |
1933 Pine St Suite B Abilene TX 79601-2431 | |
(325) 675-0338 | |
(325) 676-5049 |
Full Name | Charles W. Fuller, Md |
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Speciality | Family Medicine |
Location | 1933 Pine St, Abilene, Texas |
Authorized Official Name and Position | Charles W Fuller (PHYSICIAN/OWNER) |
Authorized Official Contact | 3256750338 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Charles W. Fuller, Md 1933 Pine St Suite B Abilene TX 79601-2431 Ph: (325) 675-0338 | Charles W. Fuller, Md 1933 Pine St Suite B Abilene TX 79601-2431 Ph: (325) 675-0338 |
NPI Number | 1508145871 |
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Provider Enumeration Date | 08/04/2011 |
Last Update Date | 08/04/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508145871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | F3971 (Texas) | Primary |
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