DR. Timothy Richard Fullam, M.D. is a neurology psychiatry neurology in Jbsa Ft Sam Houston, TX. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Timothy Richard Fullam, M.D. NPI is 1952720104. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX
ZIP 78234-504
Phone: (210) 916-2203
Fax: (210) 916-2203
The NPI 1952720104 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/15/2014 and was last updated on 8/11/2021.