IndividualActive
Donald Fulsom, M.D.
NPI 1679568794 · Addiction Psychiatry Physician · Tyler, TX
Provider details
- NPI number
- 1679568794
- Entity type
- Individual
- Primary specialty
- Addiction Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- L6047 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
306 E Houston St
Tyler, TX 75702-8218
Phone: (903) 593-6550
Fax: (903) 593-6554
Approximate (ZIP-level) locationGet directions
Mailing address
306 E Houston St
Tyler, TX 75702-8218
Registry dates
- Enumerated
- 2005-09-14
- Last updated
- 2025-05-14
- Certified
- 2025-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.