| Daphne D Fullerton, MD | |
|
803 W Lampasas St, Ennis, TX 75119-4535 | |
| (800) 893-9698 | |
| Not Available |
| Full Name | Daphne D Fullerton |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 803 W Lampasas St, Ennis, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609908490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | L8244 (Texas) | Primary |
| Entity Name | Century Integrated Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
| Entity Name | Integrative Emergency Services Physician Group-houston Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208 |
| Mailing Address | Practice Location Address |
|---|---|
| Daphne D Fullerton, MD 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: () - | Daphne D Fullerton, MD 803 W Lampasas St, Ennis, TX 75119-4535 Ph: (800) 893-9698 |
Dr. Fredric Clark Puckett, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2203 W Lampasas St, Suite 205, Ennis, TX 75119 Phone: 972-875-6200 Fax: 972-875-6414 | |
Dr. Neal A Zeigler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 Dolfie Ln, Suite 101, Ennis, TX 75119 Phone: 972-875-4500 |