MICHAEL FULLER

DALLAS, TX
NPI1063230878
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
(Licence: TX  2076-0624)
Enumeration Date2024-09-30
Last Update Date2025-04-14
Business Address
Mr. MICHAEL FULLER MHPS
3008 ROSS AVE STE 100
DALLAS, TX 75204-5519
Phone number: 682-277-9994
Mailing Address
Mr. MICHAEL FULLER MHPS
5900 BALCONES DR STE 100
AUSTIN, TX 78731-4298
Phone number: 682-277-9994