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DR. MAYNARD DARVY FULLER M.D.
NPI 1679515589
Internal Medicine - Medical Oncology in Las Cruces, NM

Active since June 12, 2006
150 S ROADRUNNER PKWY, LAS CRUCES, NM 88011(505) 556-8600(505) 556-8700 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Maynard Darvy Fuller M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MAYNARD DARVY FULLER M.D. (NPI 1679515589) is an individual medical oncology provider in Las Cruces, New Mexico, licensed in New Mexico (97239) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1679515589
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. MAYNARD DARVY FULLERCredential: M.D.
Location Address150 S ROADRUNNER PKWYLas Cruces, NM 88011-7044
Mailing AddressPo Box 911230Dallas, TX 75391-1230 · (972) 997-8000 · Fax (972) 437-9605
Phone(505) 556-8600
Fax(505) 556-8700
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateMay 2, 2008
✔ NPI 1679515589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Licenses✔ Licensed in NM · 97239✔ Licensed in TX · G4000
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
150 S ROADRUNNER PKWY, Las Cruces, NM 88011
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Other Identifiers 12

Medicaid126330307TX
Other48753001Cshcn
Medicare PINP00173850NM
Medicare UPIND48266TX
Medicaid126330301TX
Other8R1442TX · Blue Cross Of Texas
Medicare PIN8J0578TX
Medicare PIN8366M1TX
Medicaid140998901TX
Medicare PIN89941JTX
Medicare PIN343408501NM
Medicaid000S2815NM

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TEXAS ONCOLOGY, PA
Internal Medicine (Hematology & Oncology)
150 S ROADRUNNER PKWY
LAS CRUCES, NM 88011
Doña Ana County (575) 556-8600
DR. CONSTANCE DAPHNE WASH MD
Internal Medicine (Medical Oncology)
150 S ROADRUNNER PKWY
LAS CRUCES, NM 88011
Doña Ana County (505) 556-8600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maynard Fuller's NPI number?

The NPI number for Maynard Fuller is 1679515589. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Maynard Fuller located?

Maynard Fuller practices at 150 S Roadrunner Pkwy, Las Cruces, NM 88011. The listed phone number is (505) 556-8600.

What is Maynard Fuller's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

When was this NPI record last updated?

The NPPES record for Maynard Fuller was last updated on May 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.