Organization Active NPI

Fulbright & Associates PC

  • Clinical Neuropsychologist
  • Dallas, TX
National Provider Identifier
1568530244
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
23160 Issued in TX
Legal business name
FULBRIGHT & ASSOCIATES PC
Practice address
6210 Campbell Rd
Suite 100
Dallas, TX 75248-1371
Phone
(972) 250-1705
Fax
(972) 250-1710
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Dr. Richard L Fulbright, PHDNPI 1992987465
Title
Owner Neuropsychologist
Phone
(972) 250-1705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 23160 TX Primary

Addresses

Primary practice location

6210 Campbell Rd
Suite 100
Dallas, TX 75248-1371

Mailing address

6210 Campbell Rd
Suite 100
Dallas, TX 75248-1371
Phone (972) 250-1705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080717000503 TX Part B Supplier - Clinic/Group Practice 7911070396 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

17000 Preston Rd
Ste 350
Dallas, TX 75248
Phone (972) 250-1705

6210 Campbell Rd
Ste 100
Dallas, TX 75248
Phone (817) 602-2626

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1568530244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 CAMPBELL RD",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481371",
            "telephone_number": "972-250-1705",
            "fax_number": "972-250-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 CAMPBELL RD",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481371",
            "telephone_number": "972-250-1705",
            "fax_number": "972-250-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULBRIGHT & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "FULBRIGHT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "972-250-1705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "23160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.