Maynard Darvy Fuller in Dallas - Medical Oncology

Maynard Darvy Fuller - NPI 1679515589

Maynard Darvy Fuller is a Medical Oncology in Dallas, Texas. Maynard Darvy Fuller practices all healthcare services and medical treatments related to Medical Oncology. The NPI Number for Maynard Darvy Fuller is 1679515589. The last update date is 2008-05-02.

Maynard Darvy Fuller's current location address is Po Box 911230, Dallas, Texas. You can contact this provider via phone number 9729978000 and fax number 9724379605. The mailing address for Maynard Darvy Fuller is Po Box 911230, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Maynard Darvy Fuller
Address Po Box 911230, Dallas, Texas
Phone Number 9729978000
Fax Number 9724379605
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1679515589
Provider Enumeration Date 2006-06-12
Last Updated Date 2008-05-02

Provider Mailing Address Detail

Address Po Box 911230
City Dallas
State Texas (TX)
Post Code 753911230
Phone Number 9729978000
Fax Number 9724379605

Provider's Primary Taxonomy Detail

Speciality Medical Oncology
Taxonomy 207Rx0202X
Licence No 97239
Definition:
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000S2815 NM --
126330307 TX --
48753001 CSHCN
8R1442 TX BLUE CROSS OF TEXAS
126330301 TX --
140998901 TX --

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FAQs about Maynard Darvy Fuller

What is the unique identifier code issued to Maynard Darvy Fuller by the Centers for Medicare & Medicaid Services (CMS)?

The Maynard Darvy Fuller has been assigned the NPI (National Provider Identifier) 1679515589. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Maynard Darvy Fuller is physically located?

The Maynard Darvy Fuller is situated at the following address: Po Box 911230, Dallas, TX 753911230.

What is Maynard Darvy Fuller's area of expertise and its corresponding taxonomy classification?

The Maynard Darvy Fuller's field of specialization is Medical Oncology, and it falls under the taxonomy code 207Rx0202X, which categorizes healthcare providers based on their areas of practice.

On what date did the Maynard Darvy Fuller receive the assignment of its 1679515589 from the Centers for Medicare & Medicaid Services?

The Maynard Darvy Fuller was issued its 1679515589 by the Centers for Medicare & Medicaid Services on 2006-06-12.

When was the information pertaining to Maynard Darvy Fuller most recently updated or revised?

The details related to Maynard Darvy Fuller, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-02.

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