Fulllife Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FULLLIFE MEDICAL SUPPLY

Practice address

9550 Forest LN Ste 464
Dallas, TX 75243-5998

Phone

(469) 392-5433

NPI assigned

Jun 11, 2025

Last updated

Jun 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yvonne Adeuga

Title

Director

Phone

(469) 392-5433

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1245125061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 FOREST LN STE 464",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 FOREST LN STE 464",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435998",
            "telephone_number": "469-392-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLLIFE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "ADEUGA",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-392-5433"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Fuller, NPC
• Natasha Lachine Fuller, MBA, QMHP-CS, PSS
• Stephanie Renee Fuller, MS, FNP-C
• Timothy Fuller, MD
• Timothy Brandon Fuller, PRIMARY BENEFICIARY
• Kylie Jeannine Fullner, DPT
• James Mark Fulmer, MD
• Rita Fulmer, FNPC
• Debra L Fulton, LPC
• Haley Hartwick Fulton

• Durable Medical Equipment & Medical Supplies in Dallas, TX
• Providers in Dallas, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.