Dr. Timothy Richard Fullam is a Jbsa Ft Sam Houston, Texas based neurologist who is specialized in Neuromuscular Medicine. Active license number of Dr. Timothy Richard Fullam is T1068 for Neurology in Texas. His current practice location is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston. Patients can reach him at 210-916-2203 or can fax him at 210-916-2203. Dr. Timothy Richard Fullam is M.D. in Neuromuscular Medicine and his NPI number (Unique professional ID assigned by NPPES) is 1952720104. Dr. Timothy Richard Fullam is a neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).
Complete Profile:
Dr. Timothy Richard Fullam speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Timothy Richard Fullam
Specialization:
Neuromuscular Medicine
Gender:
Male
Credentials:
M.D.
Practice Address:
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas, 78234-4504
Phone:
210-916-2203
Fax:
210-916-2203
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1952720104
NPI Enumeration Date:
15 Apr, 2014
NPI Last Update On:
18 Jul, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Timothy Richard Fullam are as mentioned below.
License Number
Specialization
State
Status
T1068
Neurology
Texas
Primary
T1068
Neuromuscular Medicine
Texas
Secondary
28833
General Practice
Nebraska
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Timothy Richard Fullam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
19552780104
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Timothy Richard Fullam 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas
Zip:
78234-4504
Phone Number:
210-916-2203
Fax Number:
210-916-2203
Patients can reach Dr. Timothy Richard Fullam at 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas or can call to book an appointment on 210-916-2203.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.