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Timothy Fuller, PRIMARY BENEFICIARY

NPI 1851250757 · on the registry since 2026 · sole proprietor

Practice

Address
Po Box 843835
Dallas, TX 75284
Phone
(214) 670-4624

Registry record

Primary taxonomy
302R00000X
302R00000X
Also registered as
341600000X
347B00000X
376J00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-28

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