NPI 1063230878

Michael Fuller, MHPS

Practitioner Peer Specialist Fort Worth, TX

Practice location

Address: 6421 Camp Bowie Blvd STE 308, Fort Worth, TX 76116-5421
Phone: (682) 277-9994
Fax: (833) 915-1751

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 2076-0624 (TX)

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Registry record

NPI: 1063230878
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Sep 2024
Record last updated: 20 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.