Audrey Miriam Fuller, PA

NPI #1366331142 in Richardson, Texas

Provider Information

NPI Number: 1366331142
Entity Type: Individual
Name: Audrey Miriam Fuller, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 28, 2025
Last Updated: Jun 28, 2025

Practice Location

Address: 997 HAMPSHIRE LN
City: Richardson
State: Texas
ZIP Code: 75080-8105
Phone: (972) 479-0400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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