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	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1942499215
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	:	800-764-9729
Fax Number	:

Provider Business Practice Location Address
First Line	:	9155 GRAPEVINE HWY
Second Line	:	STE 210
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180
Country	:	US
Telephone Number	:	817-428-3929
Fax Number	:

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

Provider Enumeration Date	:	10/23/2007
Last Update Date	:	02/17/2012

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