Robert Edward Fusselman in Fort Worth - Diagnostic Ultrasound

Robert Edward Fusselman - NPI 1386624492

Robert Edward Fusselman is a Diagnostic Ultrasound in Fort Worth, Texas. Robert Edward Fusselman practices all healthcare services and medical treatments related to Diagnostic Ultrasound. 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 Diagnostic Ultrasound
Taxonomy 2085U0001X
Licence No G5071
Definition:
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G5071 TX TX PHYSICIANS PERMIT
138105509 TX --

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FAQs about Robert Edward Fusselman

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 Diagnostic Ultrasound, and the corresponding taxonomy code that categorizes this area of specialization is 2085U0001X.

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.

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