Dr. Stephanie Rose Fuller
Emergency Physician
5201 Harry Hines Blvd Graduate Medical Education
Dallas
, Texas 75235-7708
Dr. Stephanie Rose Fuller
Emergency Physician
5201 Harry Hines Blvd Graduate Medical Education
Dallas
, Texas 75235-7708
(817) 496-9700
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Stephanie Rose Fuller
- 6451 Brentwood Stair Rd Ste 200
- Fort Worth, TX
- Zip : 76112-3200
- Phone : (817) 496-9700
Second Address
- Dr. Stephanie Rose Fuller
- 5201 Harry Hines Blvd Graduate Medical Education
- Dallas, TX
- Zip : 75235-7708
- Phone : (214) 590-8058
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FAQs
Where did Dr. Stephanie Rose Fuller attend graduate school?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | P0584 | TX |
National Provider Identifier
| NPI | 1013234244 |
|---|---|
| Provider Name | Dr. Stephanie Rose Fuller |
| First Address | Fort Worth, TX 76112-3200 |
| Second Address | Dallas, TX 75235-7708 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/04/2010 |
| Last Update Date | 10/06/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H0182969 | DPS (01) | TX |
| P0584 | TEXAS MEDICAL BOARD (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.