Clifford T Fullerton in Garland - Family Medicine

Clifford T Fullerton - NPI 1255361622

Clifford T Fullerton is a Family Medicine in Garland, Texas. Clifford T Fullerton practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Clifford T Fullerton is 1255361622. The last update date is 2009-07-29.

Clifford T Fullerton's current location address is 5345 N George Bush Fwy, Garland, Texas. You can contact this provider via phone number 9724955888 and fax number 9724950588. The mailing address for Clifford T Fullerton is 5345 N George Bush Fwy, Garland, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Clifford T Fullerton
Address 5345 N George Bush Fwy, Garland, Texas
Phone Number 9724955888
Fax Number 9724950588
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1255361622
Provider Enumeration Date 2006-07-03
Last Updated Date 2009-07-29

Provider Mailing Address Detail

Address 5345 N George Bush Fwy
City Garland
State Texas (TX)
Post Code 750402767
Phone Number 9724955888
Fax Number 9724950588

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No G5070
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
80086243 TX RR MEDICARE
116434502 TX --
87W705 TX BCBS

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FAQs about Clifford T Fullerton

What is the unique 10-digit identification code issued to Clifford T Fullerton by the Centers for Medicare & Medicaid Services?

The Clifford T Fullerton has been assigned the NPI (National Provider Identifier) 1255361622 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Clifford T Fullerton's physical address?

The Clifford T Fullerton is physically located at 5345 N George Bush Fwy, in the city of Garland, TX, with the postal code 750402767.

What is Clifford T Fullerton's area of expertise and its corresponding taxonomy classification?

The Clifford T Fullerton's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.

When did Clifford T Fullerton receive its 1255361622 assignment?

The Clifford T Fullerton was assigned its 1255361622 on 2006-07-03, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Clifford T Fullerton last refreshed?

The information related to the Clifford T Fullerton, including its address, specialty, and other relevant details, was last updated on 2009-07-29.

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