DR. GREGORY MICHAEL FULLER (NPI# 1356347306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356347306 |
| Entity Type | Individual |
| Full Name | DR. GREGORY MICHAEL FULLER |
| Credential | M.D. |
| Practice Address |
300 North Rufe Snow Dr Keller TX 76248 |
| Mailing Address |
4351 Booth Calloway Rd Suite 101 North Richland Hills TX 76180-7378 |
| Practice Telephone | 8174313800 |
| Practice Fax Number | 8173370784 |
| Mailing Telephone | 8172841165 |
| Mailing Fax Number | 8172844990 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2010-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | H8646 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174569107 | Gregory W Fuller | Emergency Medicine | 1006 Airport Rd, Jackson, MI 49202-1851 | 2006-06-20 |
| 1114342128 | Gregory Fuller | Case Management | 1200 N Main St, Suite 200, Santa Ana, CA 92701-3640 | 2014-02-27 |
| 1235267931 | Gregory Alan Fuller | Pharmacist | 103 Utica St, Hamilton, NY 13346-1100 | 2007-03-02 |
| 1023176591 | Gregory Paul Fuller | Dentist | 7255 E Tanque Verde Rd, Ste 101, Tucson, AZ 85715-3463 | 2006-12-05 |
| 1366547937 | Gregory N. Fuller | Pathology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2006-09-14 |
| Street Address |
300 NORTH RUFE SNOW DR |
| City | KELLER |
| State | TX |
| Zip Code | 76248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556145 | Tyler Woodall | Counselor | 1668 Keller Parkway, Suite 200, Keller, TX 76248 | 2020-07-28 |
| 1396366456 | Kelcie Dao | Speech-Language Pathologist | 630 B Stoneglen Drive, Keller, TX 76248 | 2020-04-29 |
| 1003447384 | Alliance Orthotics and Prosthetics, L.L.C. | Prosthetic/Orthotic Supplier | 101 Bourland Rd Suite A, Keller, TX 76248 | 2020-01-27 |
| 1033759832 | Everest Rehabilitation Hospital Keller, LLC | Rehabilitation Hospital | 955 S. Main St., Keller, TX 76248 | 2020-01-09 |
| 1750934253 | Pediatric Dentistry of Keller Pllc | Dentist | 1627 Keller Parkway, Suite 100, Keller, TX 76248 | 2019-07-23 |
| 1306345293 | Jaqui Otto | Psychologist | 1664 Keller Parkway Ste 102, Keller, TX 76248 | 2018-02-06 |
| 1194223404 | Hartman Samuel Ian Watson | Chiropractor | 1211 S Main St Ste 300h, Keller, TX 76248 | 2018-02-01 |
| 1760900997 | Md First Watch Healthcare Pllc | Clinic/Center | 310 Keller Parkway, Keller, TX 76248 | 2017-09-08 |
| 1588104541 | Elias Alharari | Nurse Practitioner | 651 S Main St Ste 102, Keller, TX 76248 | 2017-02-24 |
| 1730631698 | Alliance Counseling and Education Center | Social Worker | 1540 Keller Parkway, Ste. 108-205, Keller, TX 76248 | 2016-10-26 |
| Find all providers in zip 76248 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043755457 | Xtreme Medical Rehab | Family Medicine | 1710 Rufe Snow Dr, 120, Keller, TX 76248-5745 | 2016-12-21 |
| 1679016984 | T Off Men's Health Keller, LLC | Family Medicine | 8739 Davis Blvd, A, Keller, TX 76248-0309 | 2016-11-18 |
| 1013381250 | First Keller Healthcare | Family Medicine | 891 E. Keller Pkwy Ste 101, Keller, TX 76248-2486 | 2015-11-27 |
| 1770898306 | William L. Musgrave | Family Medicine | 1750 Keller Parkway, Keller, TX 76248-3704 | 2010-08-06 |
| 1265600308 | Bestawrous Family Clinic | Family Medicine | 1200 Keller Pkwy, 100, Keller, TX 76248 | 2008-02-12 |
| 1669666822 | Ryan Buffington | Family Medicine | 1141 Keller Pkwy Ste B, Keller, TX 76248-1628 | 2007-08-30 |
| 1265626550 | Buffington Family Medicine Pllc | Family Medicine | 12461 Timberland Boulevard, Suite 309, Keller, TX 76177 | 2007-08-30 |
| 1275747842 | Yun Tzu Tran | Family Medicine | 8553 N. Beach St Pmb 379, Keller, TX 76244 | 2007-05-10 |
| 1194882258 | Tommy Brent Duncan | Family Medicine | 3529 Heritage Trace Pkwy, Ste 137, Keller, TX 76248-0970 | 2007-01-01 |
| 1932260668 | Smita Kasat Rumalla | Family Medicine | 816 Keller Pkwy Ste 102, Keller, TX 76248-2479 | 2006-12-13 |
| Find all providers in KELLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.