| Dr Maynard Darvy Fuller, MD | |
|
150 S Roadrunner Pkwy, Las Cruces, NM 88011-7044 | |
| (505) 556-8600 | |
| (505) 556-8700 |
| Full Name | Dr Maynard Darvy Fuller |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Medical Oncology |
| Location | 150 S Roadrunner Pkwy, Las Cruces, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679515589 | NPI | - | NPPES |
| 000S2815 | Medicaid | NM | |
| 126330307 | Medicaid | TX | |
| 48753001 | Other | CSHCN | |
| 8R1442 | Other | TX | BLUE CROSS OF TEXAS |
| 126330301 | Medicaid | TX | |
| 140998901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RX0202X | Internal Medicine - Medical Oncology | 97239 (New Mexico) | Primary |
| 207RX0202X | Internal Medicine - Medical Oncology | G4000 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Maynard Darvy Fuller, MD Po Box 911230, Dallas, TX 75391-1230 Ph: (972) 997-8000 | Dr Maynard Darvy Fuller, MD 150 S Roadrunner Pkwy, Las Cruces, NM 88011-7044 Ph: (505) 556-8600 |
Dr. Craig Frederick Cannon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4351 E Lohman Ave Ste 201, Las Cruces, NM 88011 Phone: 575-522-2233 Fax: 575-522-2266 | |
Azim Saquib, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1160 Mall Dr, Las Cruces, NM 88011 Phone: 575-521-3270 | |
Hugo Daniel Gonzalez, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 4351 E Lohman Ave Ste 300, Las Cruces, NM 88011 Phone: 575-556-7600 | |
Louis M Benevento, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3961 E Lohman Ave Ste 33, Las Cruces, NM 88011 Phone: 575-522-0423 Fax: 575-556-0201 | |
Paul Feil, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2437 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-522-2777 Fax: 575-522-4532 | |
Ikrita Kaur Klair, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4351 E Lohman Ave Ste 211, Las Cruces, NM 88011 Phone: 575-556-8950 Fax: 575-556-8955 | |
Mr. Robert A Graor, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3865 East Lohman, Suite 4, Las Cruces, NM 88011 Phone: 575-532-5838 Fax: 575-532-1778 |