Fuller, Michael
Fuller, Michael is an sole proprietor health care provider with primary practice located at 6421 Camp Bowie Blvd Ste 308 , Fort Worth TX 76116-5421. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Fuller, Michael can be contacted via phone (682) 277-9994.Contact Information
Primary practice address
6421 Camp Bowie Blvd Ste 308
Fort Worth TX 76116-5421
Phone: (682) 277-9994
Fax: (833) 915-1751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 2076-0624 | Texas |
Profile Details
| NPI number | 1063230878 |
|---|---|
| LBN Legal business name | Fuller, Michael |
| Credentials | MHPS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2024 |
| Last updated | Jul 20th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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