Philip S Fuller
MD | Pediatrics | Male
Philip S Fuller, MD is a Southlake, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Philip S Fuller is
2727 E Southlake Blvd, Southlake, Texas - 76092-6613. He can be contacted on phone at
682-885-6000 and fax number 682-885-6050.
Philip S Fuller is a sole proprietor of his business.
NPI number (Unique professional ID) for Philip S Fuller is
1760592216 which was assigned by NPPES on 30 Aug, 2006 and it was last updated on 10 May, 2021.
Philip S Fuller license number is
E0922 for Pediatrics (208000000X) in Texas.
Philip S Fuller is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Philip S Fuller basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Philip S Fuller |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Philip S Fuller address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2727 E Southlake Blvd
Southlake, TX, 76092-6613
United States |
|---|
| Phone Number : | 682-885-6000 |
|---|
| Fax Number : | 682-885-6050 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1760592216 |
|---|
| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Aug, 2006 |
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| Last Updated On : | 10 May, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Philip S Fuller are as mentioned. Primary taxonomy code for Philip S Fuller, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207PP0204X | Emergency Medicine Pediatric Emergency Medicine | No | E0922 | TX |
| 208000000X | Pediatrics | Yes | E0922 | TX |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | pfuller13779@CookChildrens.direct-ci.com
| No affiliation |
|
| 801 7TH AVE,
FORT WORTH, TX, 76104-2733
United States |
DIRECT
(Direct Messaging Address) | pfuller13779@CookChildrens.direct-ci.com
| No affiliation |
|
| 2727 E SOUTHLAKE BLVD,
SOUTHLAKE, TX, 76092-6613
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 99213
Fort Worth, TX, 76199-0213
United States |
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| Phone Number : | 682-885-1860 |
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| Fax Number : | 682-885-1396 |
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Business Location:
Patients can refer following map for directions to
Philip S Fuller practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.