| Michael D. Fulton, D.o., P.a. | |
|
3515 Shepherd Ln Balch Springs TX 75180-2325 | |
| (972) 913-0200 | |
| (972) 913-8094 |
| Full Name | Michael D. Fulton, D.o., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 3515 Shepherd Ln, Balch Springs, Texas |
| Authorized Official Name and Position | Michael Dwain Fulton (PRESIDENT) |
| Authorized Official Contact | 9729130200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D. Fulton, D.o., P.a. 3515 Shepherd Ln Balch Springs TX 75180-2325 Ph: (972) 913-0200 | Michael D. Fulton, D.o., P.a. 3515 Shepherd Ln Balch Springs TX 75180-2325 Ph: (972) 913-0200 |
| NPI Number | 1487962312 |
|---|---|
| Provider Enumeration Date | 09/14/2010 |
| Last Update Date | 09/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487962312 | NPI | - | NPPES |
| 1285405-06 | Medicaid | TX | |
| 1285405-02 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J4130 (Texas) | Primary |
Foremost Family Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3515 Shepherd Ln, Balch Springs, TX 75180 Phone: 972-588-4532 Fax: 214-888-3149 | |
Dallas Geriatrics Associates, P.a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4200 Shepherd Ln, Balch Springs, TX 75180 Phone: 214-325-1969 Fax: 972-291-0019 |