MEDICARE: AMERICAN RADIOLOGY CONSULTANTS, PLLC

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
1	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1740390335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN RADIOLOGY CONSULTANTS, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 678253
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75267-8253
Country	:	US
Telephone Number	:	800-945-2455
Fax Number	:	903-453-2541

Provider Business Practice Location Address
First Line	:	10644 INDIGO BROOM LOOP
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78755
Country	:	US
Telephone Number	:	800-945-2455
Fax Number	:	903-453-2541

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAMES M FULMER
Credential	:	MD
Telephone Number	:	214-826-8822

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	05/14/2008

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