Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Audrey Miriam Fuller, PA

Individual provider Physician Assistant · NPI 1366331142

Audrey Miriam Fuller, PA is a Physician Assistant in Richardson, Texas. Licensed in Texas. Registered with an NPI since 2025.

Licensed in
TX
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

997 Hampshire Ln
Richardson, TX 75080-8105
Phone: (972) 479-0400
Fax: (972) 479-9435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TEMPORARY (TX)

Record details

NPI number1366331142
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 28, 2025
Last updated in NPPESJune 28, 2025
Certification dateJune 28, 2025

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