MICHAEL DWAIN FULTON

GARLAND, TX
NPI1134109093
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  J4130)
Enumeration Date2006-01-18
Last Update Date2014-05-29
Business Address
-- MICHAEL DWAIN FULTON D.O.
565 W I 30
GARLAND, TX 75043-5702
Phone number: 972-303-3030
Mailing Address
-- MICHAEL DWAIN FULTON D.O.
PO BOX 9101
COPPELL, TX 75019-9494
Phone number: 972-745-7500
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