Robert Edward Fusselman in Fort Worth - Body Imaging
Robert Edward Fusselman - NPI 1386624492
Robert Edward Fusselman is a Body Imaging in Fort Worth, Texas. Robert Edward Fusselman practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Robert Edward Fusselman is 1386624492. The last update date is 2012-08-14.
Robert Edward Fusselman's current location address is 817 W Cannon St, Fort Worth, Texas. You can contact this provider via phone number 8173210312 and fax number 8173177033. The mailing address for Robert Edward Fusselman is 817 W Cannon St, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Robert Edward Fusselman |
---|---|
Address | 817 W Cannon St, Fort Worth, Texas |
Phone Number | 8173210312 |
Fax Number | 8173177033 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1386624492 |
---|---|
Provider Enumeration Date | 2006-01-17 |
Last Updated Date | 2012-08-14 |
Provider Mailing Address Detail
Address | 817 W Cannon St |
---|---|
City | Fort Worth |
State | Texas (TX) |
Post Code | 761043147 |
Phone Number | 8173210312 |
Fax Number | 8173177033 |
Provider's Primary Taxonomy Detail
Speciality | Body Imaging |
---|---|
Taxonomy | 2085B0100X |
Licence No | G5071 |
Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
G5071 | TX | TX PHYSICIANS PERMIT | |
138105509 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Robert Edward Fusselman by the Centers for Medicare & Medicaid Services?
The Robert Edward Fusselman has been issued the NPI (National Provider Identifier) 1386624492 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Robert Edward Fusselman's facilities are situated?
The facilities of Robert Edward Fusselman are physically located at the following address: 817 W Cannon St, Fort Worth, TX, 761043147.
What is Robert Edward Fusselman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Robert Edward Fusselman's specialized field of practice is Body Imaging, and the corresponding taxonomy code that categorizes this area of specialization is 2085B0100X.
On what date did Robert Edward Fusselman receive its 1386624492 assignment from the Centers for Medicare & Medicaid Services?
The Robert Edward Fusselman was assigned its 1386624492 on 2006-01-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Robert Edward Fusselman most recently updated or revised?
The details related to Robert Edward Fusselman, including its address, specialty, and other relevant information, were last updated or revised on 2012-08-14.