Individual provider · Type 1 NPI

Elbert Fulgram Jr.

Driver · Fort Worth, TX

NPI number 1194298141 Active

Practice location

8134 Monterra Ranch Dr Apt 3622
Fort Worth, TX 76177-6231

Call (480) 930-0459 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X25298725 (TX)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1194298141

Elbert Fulgram Jr.'s National Provider Identifier is 1194298141, issued on Jan 2, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 2, 2019.