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NPI Code Detail

MEDICARE: KRISTI FULTON

MEDICARE:   KRISTI  FULTON
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
1235Z00000XSpeech-Language Pathologist106941TX

General Provider Information

NPI Number : 1134559420
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTI FULTON
Provider Business Mailing Address
First Line : 8850 ELBE TRL
Second Line :
City : FORT WORTH
State : TX
Zip : 76118-7408
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8850 ELBE TRL
Second Line :
City : FT WORTH
State : TX
Zip : 76118-7408
Country : US
Telephone Number : 972-219-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2013
Last Update Date : 11/16/2021

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Directions to “ KRISTI FULTON ” Practice Location

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