DR. MD Dale Eugene Fuller, NPI 1235159310
Radiation Oncology Physician in Dallas, TX, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1235159310
NPI Entity Type Individual
Provider Name DR. MD Dale Eugene Fuller
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 12221 Merit Drive, #500, Dallas, TX, US
Provider Mailing Address Po Box 911230, Dallas, TX, US, 753911230
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2085R0001X

Taxonomy Name Radiation Oncology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. D4659
License State TX
Description A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Business Address

DR. MD Dale Eugene Fuller
12221 Merit Drive
#500

Dallas, TX, US

Phone: 972-490-2900
Fax: 972-386-0261

Mailing Address

DR. MD Dale Eugene Fuller
Po Box 911230
Dallas, TX, US
ZIP 753911230
Phone: 972-997-8000
Fax: 972-437-9605

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
139559204 TX MEDICAID 05
139559206 TX MEDICAID 05
139559202 TX MEDICAID 05
139559214 TX MEDICAID 05
139559210 TX MEDICAID 05
139559201 TX MEDICAID 05
139559207 TX MEDICAID 05
139559208 TX MEDICAID 05
139559211 TX MEDICAID 05
139559212 TX MEDICAID 05
139559205 TX MEDICAID 05
139559203 TX CSHCN 01
8R1441 TX BLUE CROSS OF TX 01

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Organization

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Organization

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Organization

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