IndividualActive
Michael Fuller, MHPS
NPI 1063230878 · Peer Specialist · Dallas, TX
Provider details
- NPI number
- 1063230878
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- MHPS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2076-0624 (TX)
Specialties & taxonomies
Other Service Providers
Practice location
3008 Ross Ave Ste 100
Dallas, TX 75204-5519
Phone: (682) 277-9994
Approximate (ZIP-level) locationGet directions
Mailing address
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Registry dates
- Enumerated
- 2024-09-30
- Last updated
- 2025-04-14
- Certified
- 2025-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.