National Provider Identifier Database

DONALD R FULSOM, MD – NPI #1679568794
Addiction Psychiatry

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.


Contact Information

DONALD R FULSOM, MD
306 E HOUSTON ST
TYLER, TX75702-8218
Phone: 903-593-6550
Fax: 903-593-6554
Website:
Specialty Taxonomy Code
* Addiction Psychiatry 2084P0802X
Child & Adolescent Psychiatry 2084P0804X

* Indicates primary specialty

NPI Profile & details for DONALD R FULSOM

NPI Number 1679568794
Credentials MD
Entity Individual
Enumeration date 09/14/2005
Last updated 05/14/2025 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • TX License #: L6047
  • TX Medicaid: 158042501
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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