Fuller, Philip S

Fuller, Philip S is an individual health care provider with primary practice located at 2727 E Southlake Blvd , Southlake TX 76092-6613. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Fuller, Philip S can be contacted via phone (682) 885-6000.

Contact Information

Primary practice address
2727 E Southlake Blvd Southlake TX 76092-6613
Phone: (682) 885-6000
Fax: (682) 885-6050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X E0922 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E0922 Texas

Profile Details

NPI number 1760592216
LBN Legal business name Fuller, Philip S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated May 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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