Fullmer, Jason
Fullmer, Jason is an individual health care provider with primary practice located at 11111 Research Blvd Suite 300, Austin TX 78759-5264. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Fullmer, Jason can be contacted via phone (512) 380-9200.Contact Information
Primary practice address
11111 Research Blvd Suite 300
Austin TX 78759-5264
Phone: (512) 380-9200
Fax: (512) 380-9201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | L0800 | Texas |
Profile Details
| NPI number | 1184796401 |
|---|---|
| LBN Legal business name | Fullmer, Jason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Dec 16th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184796401 | NPPES |
| Texas | MEDICAID | 154700203 |
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