SearchTexas164X00000X

Connie Fuller

NPI 1730673849 · on the registry since 2018

Practice

Address
8442 N State Highway 94
Groveton, TX 75845
Phone
(936) 635-2654
Clinicians at this address
2

Registry record

Primary taxonomy
164X00000X
164X00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-06-21

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