Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. VICTOR RAY FULFORD, NA
Active Sole ProprietorAssisted Living Facility · LUBBOCK, TX
Registration Details
- NPI Number
- 1548387160
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2007 (19.102864954342 yrs)
- Last Updated
- Jul 8, 2007
- License
-
117087 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5720 79TH STLUBBOCK, TX, 794242624Browse TX providers · Browse ZIP 79424
- Phone
- 8066989105
- Primary Specialty
-
Assisted Living Facility
310400000X
Other Assisted Living Facility Providers in LUBBOCK, TX
| Name | Credential | NPI |
|---|---|---|
| GARY HAVENS | — | 1528856952 |
| RUBEN PEREZ | — | 1780567057 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.