Most Relevant Information
Provider Data
| NPI Number: | 1003414772 |
| Provider Name: | JODY LEE FULBRIGHT L.P.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 10266 |
Most Important Dates
| Enumeration Date: | 10/14/2020 |
| Last Updated: | 10/14/2020 |
Provider Practice Location
17000 PRESTON RD STE 350
DALLAS
TX
752481240
Practice Location Phone/Fax
| Phone: | 9722501705 |
| Fax: | 9722501710 |
Provider Mailing Location
17000 PRESTON RD STE 350
DALLAS
TX
752481240
Provider Mailing Phone/Fax
| Phone: | 9722501705 |
| Fax: | 9722501710 |