Individual provider · Type 1 NPI

Michael W. Fuller, PA-C

Surgical Physician Assistant · Plano, TX

NPI number 1336217702 Active

Practice location

7000 W Plano Pkwy, Suite 200
Plano, TX 75093-8466

Fax (214) 483-9301

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA02147 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1336217702

Michael W. Fuller, PA-C's National Provider Identifier is 1336217702, issued on Dec 1, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Plano, TX. The record was last updated on Sep 16, 2009.