MR. TANNER MICHAEL FULLMER


Address: 6501 Fannin St Ste Na102, Houston, TX 77030-2703
Phone: 7137983913

MR. TANNER MICHAEL FULLMER (NPI# 1285028753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285028753
Entity Type Individual
Full Name MR. TANNER MICHAEL FULLMER
Practice Address 6501 Fannin St Ste Na102
Houston
TX 77030-2703
Mailing Address 7120 W Chambers Ct Apt 1
Milwaukee
WI 53210-1177
Practice Telephone 7137983913
Mailing Telephone 4145873068
Enumeration Date 2015-03-23
Last Update Date 2015-03-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 6501 FANNIN ST STE NA102
City HOUSTON
State TX
Zip Code 77030-2703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932562691 Sagar Kansara Student in an Organized Health Care Education/Training Program 6501 Fannin St Ste Na102, Houston, TX 77030-2703 2016-03-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770852 Mchaji Celestaine Pharmacist Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 2020-11-04
1730702598 Christopher A Mcmillian Student in an Organized Health Care Education/Training Program Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 2020-05-27
1245852698 Mostafa Hotait Student in an Organized Health Care Education/Training Program 7200 Cambridge Street 9a, Houston, TX 77030 2020-05-08
1790307288 Ayushi Jayesh Shah Student in an Organized Health Care Education/Training Program 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 2020-05-07
1932720836 Vera Whole Health Wa, PC Clinic/Center 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 2020-05-01
1548881808 Mobitz Heart and Rhythm Center Pllc Internal Medicine Scurlock Tower, 6560 Fannin St., Houston, TX 77030 2020-04-28
1710516513 Thomas Chi Han Lu Student in an Organized Health Care Education/Training Program 6431 Fannin Street, Msb 3.151, Houston, TX 77030 2020-04-03
1063041085 Kevin Tang Student in an Organized Health Care Education/Training Program 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 2020-04-02
1831728898 Taylor Renbarger Student in an Organized Health Care Education/Training Program 6431 Fannin St Suite Jjl 431, Houston, TX 77030 2020-04-02
1972131423 Sindhu R Rao Student in an Organized Health Care Education/Training Program 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 2020-03-31
Find all providers in zip 77030

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447865936 Zhuoxuan Judy Cai Student in an Organized Health Care Education/Training Program 1400 Pressler St Fl 7703015, Houston, TX 77030-3722 2020-09-10
1255946109 Idris Abdullah Badruddin Student in an Organized Health Care Education/Training Program 7911 Lawn Wood Ln, Houston, TX 77086-2325 2020-09-08
1427669209 Omar Ahmed Student in an Organized Health Care Education/Training Program 7500 Cambridge St # 6510, Houston, TX 77054-2032 2020-08-13
1245840503 Punit Pala Student in an Organized Health Care Education/Training Program 1550 Lakeside Enclave Dr, Houston, TX 77077-1684 2020-08-03
1932719374 Atteeba Manzar Student in an Organized Health Care Education/Training Program 6550 Fannin St Ste 1661, Houston, TX 77030-2765 2020-07-31
1619595204 Noah Collaco Student in an Organized Health Care Education/Training Program 3110 Gannett St, Houston, TX 77025-3826 2020-07-09
1629696273 Esraa Elsamny Student in an Organized Health Care Education/Training Program 7676 Phoenix Dr Apt 1523, Houston, TX 77030-4725 2020-07-09
1194343988 Melanie Leigh Painter Student in an Organized Health Care Education/Training Program 1505 City Nights Way, Houston, TX 77047-3405 2020-07-08
1467079608 Emmanuella Adetoro Oduguwa Student in an Organized Health Care Education/Training Program 10918 Ranier Dr, Houston, TX 77031-1835 2020-07-04
1366069288 Jacob Charles Kinskey Student in an Organized Health Care Education/Training Program Attn: Jacob Kinskey, Dept. of Pathology, 6550 Fannin St Ste Sm383, Houston, TX 77030-2717 2020-06-26
Find all providers in HOUSTON

Competitor

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City HOUSTON
Zip Code 77030

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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