DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. STEPHANIE ROSE FULLER D.O.

MEDICARE: DR. STEPHANIE ROSE FULLER D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207P00000XEmergency Medicine PhysicianP0584TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P0584OTHERTXTEXAS MEDICAL BOARD
2H0182969OTHERTXDPS

General Provider Information

NPI Number : 1013234244
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHANIE ROSE FULLER D.O.
Provider Business Mailing Address
First Line : 4055 INTERNATIONAL PLZ STE 230
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4874
Country : US
Telephone Number : 817-496-9700
Fax Number : 817-507-1759
Provider Business Practice Location Address
First Line : 10864 TEXAS HEALTH TRL
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-4897
Country : US
Telephone Number : 682-212-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2010
Last Update Date : 03/03/2026

Similar Medicare Providers

1598928863 — DR. RAMA ATLA MD
Practice Location Address:
10864 TEXAS HEALTH TRL
FORT WORTH, TX
76244-4897
Practice Phone: 682-212-3160
Practice Fax: 682-212-9301
1285627539 — RICHARD W HAZEN M.D.
Practice Location Address:
10864 TEXAS HEALTH TRL
FORT WORTH, TX
76244-4897
Practice Phone: 817-436-6880
Practice Fax: 682-212-9301
1194799171 — DR. CRAIG A KEATHLEY MD
Practice Location Address:
10864 TEXAS HEALTH TRL
FORT WORTH, TX
76244-4897
Practice Phone: 682-212-2000
Practice Fax:
1649232323 — BARBARA W WEBSTER D.O.
Practice Location Address:
10840 TEXAS HEALTH TRL STE 270
FORT WORTH, TX
76244-4897
Practice Phone: 682-212-6437
Practice Fax: 682-212-9438
1093768780 — ARTURO M. SEGISMUNDO M.D.
Practice Location Address:
10864 TEXAS HEALTH TRL
FORT WORTH, TX
76244-4897
Practice Phone: 940-320-1708
Practice Fax:
1487685194 — KELLEY G KELLOGG DO
Practice Location Address:
10864 TEXAS HEALTH TRL
FORT WORTH, TX
76244-4897
Practice Phone: 682-212-3160
Practice Fax: 682-212-9301

Directions to “ DR. STEPHANIE ROSE FULLER D.O.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.