Cheryl C Fuller (NPI# 1750303269, PAC ID# 1557259439) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1750303269 |
| PAC ID by PECOS | 1557259439 |
| Professional Enrollment ID | I20051121000442 |
| Full Name | Cheryl C Fuller |
| Address |
5608 Malvey Ave Suite 204 Fort Worth TX 76107-5108 |
| Gender | F |
| Credential | CP |
| Graduation Year | 1982 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5608 Malvey Ave, Suite 204, Fort Worth, TX 76107-5108 |
| Street Address |
5608 MALVEY AVE SUITE 204 |
| City | FORT WORTH |
| State | TX |
| Zip | 76107-5108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason A Walker | Chiropractic | 105 Boland St, Fort Worth, TX 76107-1221 | |
| Jerry D Walker | Chiropractic | 105 Boland St, Fort Worth, TX 76107-1221 | |
| Gloria Od Hentz | Optometry | 301 Carroll St, Fort Worth, TX 76107-1956 | |
| Andrea S Roberts | Chiropractic | Ptw Chiropractic Pllc | 525 Bailey Ave, Ft Worth, TX 76107-2125 |
| Swan L Richesin | Clinical Social Worker | 3116 W 5th St, Suite 109, Fort Worth, TX 76107-2140 | |
| Enrique Saldivar Sr. | Clinical Social Worker | 601 University Dr, Suite 105, Fort Worth, TX 76107-2168 | |
| Charisse Huey | Clinical Social Worker | 601 University Dr, Suite 112, Fort Worth, TX 76107-2170 | |
| Edwin C Augustat | Ophthalmology | 3017 W 7th St, Suite 210, Fort Worth, TX 76107-2223 | |
| Heather Reagin | Dermatology | Sona Dermatology Texas Pa | 2421 W 7th St, Suite 205, Fort Worth, TX 76107-2393 |
| Kenneth Lawrence Miller | Physical Therapy | University of North Texas Health Science Center At Fort Worth | 855 Montgomery St, Fort Worth, TX 76107-2553 |
| Find all physicians in zip 76107 | |||
| City | FORT WORTH |
| Zip Code | 76107 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | FORT WORTH + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Cheryl C Fuller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.