MARY CASSANDRA FULLER


Address: 4499 Medical Dr, San Antonio, TX 78229-3735
Phone: 2106920831

MARY CASSANDRA FULLER (NPI# 1639723240) 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) 1639723240
Entity Type Individual
Full Name MARY CASSANDRA FULLER
Other Name CASSIE FULLER
Credential NP-C
Practice Address 4499 Medical Dr
San Antonio
TX 78229-3735
Mailing Address 29710 Twin Creeks Dr
Bulverde
TX 78163-2406
Practice Telephone 2106920831
Practice Fax Number 2105930211
Mailing Telephone 2108317107
Enumeration Date 2019-07-31
Last Update Date 2019-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP142325 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers MARY FULLER

NPI Name Taxonomy Address Enumeration
1740751015 Mary Fuller Home Health Aide 3043 N 29th St., Milwaukee, WI 53209 2018-12-16
1295052009 Mary Elizabeth Fuller Physical Therapist 300 N Virginia St, Port Lavaca, TX 77979-3449 2010-05-03
1013113133 Mary Ann Fuller Dietitian, Registered 415 Springtree Rd, Lake Dallas, TX 75065-2392 2007-06-25
1902938525 Mary E Fuller Marriage & Family Therapist 835 Sorrelwood Ct, Westlake Village, CA 91361-1840 2007-03-09
1538130984 Mary Margaret Fuller Counselor 40347 Us Highway 19 N Ste 103, Tarpon Springs, FL 34689-4841 2006-02-01
1497364053 Mary Fuller Preventive Medicine 110 N Burr Blvd, Kewanee, IL 61443-2214 2020-07-29
1326503707 Mary Alise Fuller Technician 3030 30th St Se, Washington, DC 20020-1674 2019-02-09
1245775428 Mary N. Fuller Nurse Practitioner 109 Daniel Dr, Danville, KY 40422 2016-12-27
1285034058 Mary Fuller Registered Nurse 495 Congress Ave, New Haven, CT 06519-1312 2014-08-29
1689913774 Mary Ellen Fuller Occupational Therapist 1 Freedom Way, Active Duty Rehab Unit (27), Augusta, GA 30904-6258 2013-02-08

Office Location

Street Address 4499 MEDICAL DR
City SAN ANTONIO
State TX
Zip Code 78229-3735

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922001395 Sheldon G. Gross Psychiatry & Neurology 4499 Medical Dr, Ste 396, San Antonio, TX 78229-3713 2005-05-31
1033718994 Adam Mitchell Sahyouni Nurse Practitioner 4499 Medical Dr, San Antonio, TX 78229-3735 2020-10-21
1679116974 Katherine St. George Counselor 4499 Medical Dr, San Antonio, TX 78229-3735 2019-10-21
1528432135 Steven Michael Rodriguez Nurse Practitioner 4499 Medical Dr, Suite 166, San Antonio, TX 78229-3771 2015-11-19
1912301748 Amarie Chambers Nurse Practitioner 4499 Medical Dr, Suite 289, San Antonio, TX 78229-3735 2014-10-22
1922407253 K & L Obgyn Inc Obstetrics & Gynecology 4499 Medical Dr, Suite 191, San Antonio, TX 78229-3735 2014-08-22
1144649153 Olivia A Funes Physician Assistant 4499 Medical Dr, Suite 151a, San Antonio, TX 78229-3735 2014-04-08
1942630132 Kimberly C Irwin, Md,pa Specialist 4499 Medical Dr, Suite 261, San Antonio, TX 78229-3735 2013-11-25
1801220850 Terry Quinn Romo Nurse Practitioner 4499 Medical Dr, Suite 280, San Antonio, TX 78229-3735 2013-08-27
1558608026 Urology With Dignity Pa Urology 4499 Medical Dr, Suite 151, San Antonio, TX 78229-3735 2013-01-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245857226 Lyndsey A Sandoval Optometrist 7400 Minton Miner St, San Antonio, TX 78229 2020-06-25
1295355311 Nicolet Finger Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 2020-04-18
1215557400 Amy Elizabeth Werry Clinical Neuropsychologist 7703 Floyd Circle Drive, San Antonio, TX 78229 2020-04-17
1740822972 Mohammad Safaie Yazdi Student in an Organized Health Care Education/Training Program Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 2019-10-09
1063053072 Blas Edward Villa Nurse Practitioner 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 2019-10-01
1124673942 Integrity Dme Services LLC Durable Medical Equipment & Medical Supplies 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 2019-08-08
1730734120 Marisa Erin Leyden Speech-Language Pathologist Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 2019-08-03
1285295741 Alireza Ghezavati Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 2019-06-25
1407410285 Denae Cheyenne Rushing Student in an Organized Health Care Education/Training Program 8201 Floyd Curl Drive, San Antonio, TX 78229 2019-04-26
1265993570 Shehzad Amlani Student in an Organized Health Care Education/Training Program Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 2019-03-28
Find all providers in zip 78229

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184224834 Natasha Bakunda Nurse Practitioner Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 2020-10-30
1033719521 Macy Atkins Nurse Practitioner 6676 Utsa Blvd, San Antonio, TX 78249-5100 2020-10-26
1801494554 Yordanis Rafael Fonseca Vega Nurse Practitioner 12521 Nacogdoches Rd Ste 101, San Antonio, TX 78217-2117 2020-10-14
1255939237 Ashley Elizabeth Swartz Nurse Practitioner 9502 Huebner Rd Ste 101, San Antonio, TX 78240-1683 2020-10-13
1871190173 Cynthia B Elkins Nurse Practitioner 24806 Terlingua Bnd, San Antonio, TX 78261-2726 2020-10-08
1588270623 Amanda Razo Nurse Practitioner 6315 Welles Arbor Cir, San Antonio, TX 78240-2148 2020-09-23
1255946935 Norberto Hernandez Iv Nurse Practitioner 11501 Braesview Apt 3903, San Antonio, TX 78213-1262 2020-09-10
1033723655 Hira Mughal Nurse Practitioner 9850 Twinbear Crk, San Antonio, TX 78245-9596 2020-09-01
1366055675 Maria Christina Cruz Tijerina Nurse Practitioner 18518 Hardy Oak Blvd Apt 135, San Antonio, TX 78258-4759 2020-08-26
1225649593 Gina M Duron Nurse Practitioner 10730 Green Trail Dr, San Antonio, TX 78223-4224 2020-08-11
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78229

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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