John Carr Fullerton III, M.D.

Surgery Physician · Temple, TX

Individual Active NPI

NPI number 1831102011

Practice location

1901 S 1st St
General Surgery SVC-112
Temple, TX 76504-7451
Phone
(254) 778-4811

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NPI record

NPI
1831102011
Entity type
Individual (Type 1)
Enumeration date
August 15, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X G2136 TX
Surgery Physician 208600000X E0099 AR
Surgery Physician 208600000X 0101031485 VA

Mailing address

1407 Indian Trl
Salado, TX 76571-5492
Phone
(254) 947-5976

About Dr. Fullerton

John Carr Fullerton III, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 1901 S 1st St, General Surgery SVC-112, Temple, TX 76504-7451. The NPI number 1831102011 was assigned on August 15, 2006 and the record was last updated on July 8, 2007.

Dr. Fullerton lists 3 licenses in the registry: #G2136 (TX) for Surgery Physician; #E0099 (AR) for Surgery Physician; #0101031485 (VA) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Carr Fullerton III, M.D.?

The NPI number is 1831102011.

What is the phone number of Dr. Fullerton?

The phone number listed for the practice location is (254) 778-4811.

Where is Dr. Fullerton located?

1901 S 1st St, General Surgery SVC-112, Temple, TX 76504-7451.

What is the taxonomy code for Dr. Fullerton?

The primary taxonomy code is 208600000X – Surgery Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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