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Andrew D Fuller

  • Male

Medical Specialty

Professional ID

  • NPI: 1518286541
  • PECOS ID: 2365575313
  • Enrollment ID: I20100728000729
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2010

Hospital Service

  • Hospital CCN1: 450801
  • Business Name (LBN)1: Christus St Michael Health System

Medical Practices

  • Organization Name: Anesthesiology Associates Of Texarkana Pa
  • Group Practice ID assigned by PECOS: 9436380508
  • Number of Group Practice member: 25

Location

  • Address1: 4100 Summerhill Rd
  • Address2:
  • City: Texarkana
  • State: Texas
  • Zip Code: 75503
  • Phone Number: (903)277-1676

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):