Deborah A Fuller


Address: 3310 Live Oak St, Suite 400, Dallas, TX 75204-6147
Phone: 2148237938

Deborah A Fuller (NPI# 1952326969, PAC ID# 2466444187) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.

Physician Overview

Nation Provider ID (NPI) 1952326969
PAC ID by PECOS 2466444187
Professional Enrollment ID I20060228000315
Full Name Deborah A Fuller
Address 3310 Live Oak St
Suite 400
Dallas
TX 75204-6147
Phone Number 2148237938
Gender F
Credential MD
Medical School UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year 1984
Primary Specialty OBSTETRICS/GYNECOLOGY
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450021 BAYLOR UNIVERSITY MEDICAL CENTER

Other Locations

Address Phone Organization
3310 Live Oak St, Suite 400, Dallas, TX 75204-6147 2148237938

Organization Information

Office Location

Street Address 3310 LIVE OAK ST
SUITE 400
City DALLAS
State TX
Zip 75204-6147

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Competitor

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City DALLAS
Zip Code 75204
Specialty OBSTETRICS/GYNECOLOGY
City + Specialty DALLAS + OBSTETRICS/GYNECOLOGY

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Dataset Information

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.

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