DALE E. FULLER MD – NPI #1235159310
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

DALE FULLER is a radiologist located in DALLAS, TX. NPPES has assigned the NPI number 1235159310 to DALE FULLER on July 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 18 years ago on Jun 20, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DALE FULLER below.

NPI Profile for
DALE E. FULLER

NPI Number
1235159310
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DALE E. FULLER
Credentials
MD
Primary location
12221 MERIT DRIVE
#500
DALLAS, TX 75251
Phone: (972) 490-2900 Fax: (972) 386-0261
Mailing address
PO BOX 911230
DALLAS, TX 75391-1230
Phone: (972) 997-8000 Fax: (972) 437-9605
Sole Proprietor
No
Updated
Identifiers

Identifiers for DALE FULLER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSS OF TXTX8R1441
OTHERCSHCNTX139559203
MEDICAIDTX139559202
MEDICAIDTX139559206
MEDICAIDTX139559201
MEDICAIDTX139559205
MEDICAIDTX139559210
MEDICAIDTX139559207
MEDICAIDTX139559208
MEDICAIDTX139559211
MEDICAIDTX139559212
MEDICAIDTX139559214
MEDICAIDTX139559204
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)
TX D4659

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.