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CONNIE FULBRIGHT
NPI 1912065210
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lubbock, TX

Active since December 05, 2006
4805 16TH ST, LUBBOCK, TX 79416(806) 797-3660 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Connie Fulbright NPPES

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

CONNIE FULBRIGHT (NPI 1912065210) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Lubbock, Texas, licensed in Texas (117319) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1912065210
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameCONNIE FULBRIGHT
Location Address4805 16TH STLubbock, TX 79416-5623
Mailing Address4805 16th StLubbock, TX 79416-5623
Phone(806) 797-3660
Sole ProprietorYes
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912065210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in TX · 117319
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
4805 16TH ST, Lubbock, TX 79416
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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 Connie Fulbright's NPI number?

The NPI number for Connie Fulbright is 1912065210. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Connie Fulbright located?

Connie Fulbright practices at 4805 16th St, Lubbock, TX 79416. The listed phone number is (806) 797-3660.

What is Connie Fulbright's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Connie Fulbright was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.