| Allie Marie Fuller, MD | |
| 
					6684 W Adams Ave, Temple, TX 76502-5632  | |
| (254) 899-4200 | |
| Not Available | 
| Full Name | Allie Marie Fuller | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 6684 W Adams Ave, Temple, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942461454 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | N5681 (Texas) | Primary | 
| 208M00000X | Hospitalist | N5681 (Texas) | Secondary | 
| Entity Name | Scott & White Clinic | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Allie Marie Fuller, MD Po Box 844658, Dallas, TX 75284-4658 Ph: () -  | Allie Marie Fuller, MD 6684 W Adams Ave, Temple, TX 76502-5632 Ph: (254) 899-4200  | 
Dr. Ezhilarasi Manickavasagam, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 2112 Sw H K Dodgen Loop Ste 110, Temple, TX 76504 Phone: 877-800-5722  | |
Dr. Madhava Reddy Beeram, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1901 Sw H K Dodgen Loop, Temple, TX 76502 Phone: 254-935-4000  | |
Dr. Michael C. Smith, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111  | |
Edwin Hernandez Caro, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1901 Sw H K Dodgen Loop, Temple, TX 76502 Phone: 254-724-5437  | |
Dr. Alisa Ana Acosta, MD, MPH Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111  | |
Dr. Holly Mead Fatter, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-5092  | |
Parneet Dhaliwal,  Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 South 31st Street, Ms-ck 300, Temple, TX 76508 Phone: 254-935-5063  |