TERRY WAYNE FULLER M.D. NPI 1669481453

NPI Information

NPI: 1669481453
Provider Name: TERRY WAYNE FULLER, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
2121 PEASE ST STE 2C
HARLINGEN, TX
ZIP 78550
Phone: (956) 440-7494
Get Directions

Terry Wayne Fuller, M.D. is a neurology psychiatry neurology in Harlingen, TX. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Terry Wayne Fuller, M.D. NPI is 1669481453. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2121 PEASE ST STE 2C
HARLINGEN, TX
ZIP 78550-321
Phone: (956) 440-7494
Fax: (956) 440-8301

The enumeration date for this NPI number is 8/8/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	K0759	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00U84V	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
2	P000U84V	MEDICAID	TEXAS
3	E79242	MEDICARE UPIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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