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NPI Code Detail

MEDICARE: DOUGLAS A FULLINGTON MD

MEDICARE:   DOUGLAS A FULLINGTON  MD
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
1207R00000XInternal Medicine PhysicianN3037TX

General Provider Information

NPI Number : 1730148180
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS A FULLINGTON MD
Provider Business Mailing Address
First Line : 5425 W SPRING CREEK PKWY
Second Line : SUITE 200
City : PLANO
State : TX
Zip : 75024-4236
Country : US
Telephone Number : 972-599-9600
Fax Number : 972-599-9696
Provider Business Practice Location Address
First Line : 8080 INDEPENDENCE PKWY
Second Line : SUITE 200
City : PLANO
State : TX
Zip : 75025-4000
Country : US
Telephone Number : 972-596-9511
Fax Number : 972-599-9696
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 06/03/2015

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Directions to “ DOUGLAS A FULLINGTON MD” Practice Location

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