Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DONALD RAY FULSOM, M.D.
Active Sole ProprietorDR. DONALD RAY FULSOM, M.D. is a Psychiatry & Neurology healthcare provider located in TYLER, Texas. NPI 1679568794 is currently active in the NPPES registry. Verify at CMS.
Psychiatry & Neurology · TYLER, TX
Registration Details
- NPI Number
- 1679568794
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2005 (20.942288161891 yrs)
- Last Updated
- May 14, 2025
- Licenses
-
L6047 (TX)L6047 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
306 E HOUSTON STTYLER, TX, 757028218Browse TX providers · Browse ZIP 75702
- Phone
- 9035936550
- Fax
- 9035936554
- Primary Specialty
-
Psychiatry & Neurology
2084P0802X
- Additional Specialty
- Psychiatry & Neurology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.