Elbert Fulgram
NPI 1194298141 · on the registry since 2019
Practice
- Address
- 8134 Monterra Ranch Dr Apt 3622
Fort Worth, TX 76177 - Phone
- (480) 930-0459
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas