IndividualActive
Jason Fullmer, MD
NPI 1184796401 · Pediatric Pulmonology Physician · Austin, TX
Provider details
- NPI number
- 1184796401
- Entity type
- Individual
- Primary specialty
- Pediatric Pulmonology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- L0800 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11111 Research Blvd
Suite 300
Austin, TX 78759-5264
Phone: (512) 380-9200
Fax: (512) 380-9201
Approximate (ZIP-level) locationGet directions
Mailing address
11111 Research Blvd
Austin, TX 78759-5264
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2014-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.