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
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 7137 (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.