Individual provider · Type 1 NPI

Jason P. Fuller, DC

Chiropractor · Austin, TX

NPI number 1164537387 Active

Practice location

3724 Executive Center Dr, Suite G-10
Austin, TX 78731-1646

Fax (512) 343-7113

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X7137 (TX)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1164537387

Jason P. Fuller, DC's National Provider Identifier is 1164537387, issued on Aug 20, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Austin, TX. The record was last updated on Jul 9, 2007.