Philip S Fuller, MD
Philip S Fuller, MD is a Pediatric Emergency Medicine (Emergency Medicine) Physician in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2727 E Southlake BlvdSouthlake, TX 76092-6613
Phone: (682) 885-6000
Fax: (682) 885-6050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence E0922 (TX) |
|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | Taxonomy 207PP0204X · Licence E0922 (TX) |
Record details
| NPI number | 1760592216 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 30, 2006 |
| Last updated in NPPES | November 18, 2024 |
| Certification date | November 18, 2024 |
| Mailing address | Po Box 99213, Fort Worth, TX 76199-0213 |
Other providers in Southlake
-
Meredith S Krebel, MD
2727 E Southlake Blvd, Southlake, TX 76092-6613 · (682) 885-6000
-
Kara A Starnes, DO
2727 E Southlake Blvd, Southlake, TX 76092-6613 · (682) 885-6000