DONALD R FULSOM, MD, Addiction Psychiatry TYLER, TX

Contact Information

DONALD R FULSOM, MD

306 E HOUSTON ST
TYLER, TX 75702-8218

Phone: 903-593-6550
Fax: 903-593-6554
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Addiction Psychiatry	2084P0802X	86	Physician/Neuropsychiatry
Child & Adolescent Psychiatry	2084P0804X	86	Physician/Neuropsychiatry

Indicates primary specialty

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NPI Profile & details for DONALD R FULSOM · (Male)

NPI Number	`1679568794`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	09/14/2005
Last updated	05/14/2025 - More than a year ago
Sole proprietor ¹	Yes
Identifiers	TX License # L6047 TX Medicaid 158042501
Hospital affiliation(s)	Not Available

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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