Clifton David Fuller MD

NPI 1821279191 - Radiology - 2085R0001X

NPI Details
NPI 1821279191
Gender Male
Enumeration Date 11/15/2007
Last Updated 06/13/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1515 HOLCOMBE BLVD
HOUSTON TX, 77030-4009, US
Phone (713) 792-6161
Fax
Business Location
PO BOX 4439
HOUSTON TX, 77210-4439, US
Phone (713) 792-8666
Fax
Toxanomy
Taxonomy Code 2085R0001X
License State Texas
License Number P0977
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According to our database, Dr. Clifton David Fuller MD NPI is 1821279191, taxonomy code is 2085R0001X and license number is P0977, license state is located at Texas. Clifton David Fuller MD physically located at 1515 Holcombe Blvd, Houston TX, 77030-4009. NPI Number Clifton David Fuller MD has the Individual type.

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1821279191 NPI number is provided on an as is basis without warranty of any kind. 1821279191 is maintained by the National Plan & Provider Enumeration System. The contents of Clifton David Fuller MD are for informational purposes only.