Fulton, Michael Dwain

Fulton, Michael Dwain is an sole proprietor health care provider with primary practice located at 565 W I 30 , Garland TX 75043-5702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fulton, Michael Dwain can be contacted via phone (972) 303-3030.

Contact Information

Primary practice address
565 W I 30 Garland TX 75043-5702
Phone: (972) 303-3030
Fax: (972) 240-1223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J4130 Texas

Profile Details

NPI number 1134109093
LBN Legal business name Fulton, Michael Dwain
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2006
Last updated May 29th, 2014 - about 11 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 1134109093 NPPES
Texas MEDICAID 1285405-02
Texas MEDICAID 1285405-06

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