Fuller, Terry Wayne

Fuller, Terry Wayne is an sole proprietor health care provider with primary practice located at 2121 Pease St Ste 2C , Harlingen TX 78550-8321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Fuller, Terry Wayne can be contacted via phone (956) 440-7494.

Contact Information

Primary practice address
2121 Pease St Ste 2C Harlingen TX 78550-8321
Fax: (956) 440-8301
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X K0759 Texas

Profile Details

NPI number 1669481453
LBN Legal business name Fuller, Terry Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 19 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669481453 NPPES
Texas MEDICAID P000U84V

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