| Michael A Fuller, MD | |
|
301 University Blvd, Galveston, TX 77555-0190 | |
| (409) 747-9722 | |
| (409) 747-8367 |
| Full Name | Michael A Fuller |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 301 University Blvd, Galveston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922054725 | NPI | - | NPPES |
| 139588114 | Other | TX | CIDC TPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | H6226 (Texas) | Primary |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Entity Name | Spindletop Mhmr Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952357550 PECOS PAC ID: 1658268321 Enrollment ID: O20040228000236 |
| Entity Name | Bluebonnet Trails Community Mhmr Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730135864 PECOS PAC ID: 5799775409 Enrollment ID: O20040514000751 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Fuller, MD 2122 Avenue K, Galveston, TX 77550-4645 Ph: (409) 939-9409 | Michael A Fuller, MD 301 University Blvd, Galveston, TX 77555-0190 Ph: (409) 747-9722 |
Catherine Zepeda, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-0770 Fax: 409-747-4010 | |
Dr. Camila Narvaez Caicedo, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd # 9.128, Galveston, TX 77555 Phone: 409-772-8031 Fax: 409-772-6940 | |
Dr. Chilvana V Patel, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 Fax: 409-772-4456 | |
James Clynes, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd., Galveston, TX 77555 Phone: 409-772-0770 Fax: 409-747-4010 | |
Sarghi Sharma, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Dr. Paymon Behrooz Mosavi, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-0770 Fax: 409-747-4010 | |
Michael Oboyle, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Route 1022, Galveston, TX 77555 Phone: 409-772-0848 Fax: 409-772-0885 |