Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILIP S FULLER, MD
ActivePHILIP S FULLER, MD is a Pediatrics healthcare provider located in SOUTHLAKE, Texas. NPI 1760592216 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · SOUTHLAKE, TX
Registration Details
- NPI Number
- 1760592216
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.994722742617 yrs)
- Last Updated
- Nov 18, 2024
- Licenses
-
E0922 (TX)E0922 (TX)
Practice Information
- Address
-
2727 E SOUTHLAKE BLVDSOUTHLAKE, TX, 760926613Browse TX providers · Browse ZIP 76092
- Phone
- 6828856000
- Fax
- 6828856050
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in SOUTHLAKE, TX
| Name | Credential | NPI |
|---|---|---|
| NANNETTE F CROW | MD | 1588642318 |
| DR. ARTHUR ERIC BENZICK | MD | 1376500843 |
| MICHELLE M MCKANE | MD | 1255363099 |
| DR. MELISSA D ASGAONKAR | — | 1861418907 |
| DR. ERICA J ZWERNEMANN | M.D. | 1427079300 |
| DR. DAVID O JOHNSON | M.D. | 1740204692 |
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.