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Dr. Donald Ray Fulsom, MD
Addiction Psychiatry Physician in Tyler, Texas
NPI 1679568794

Donald Ray Fulsom is an Addiction Psychiatry Physician based in Tyler, TX and is specialized in Addiction Psychiatry. Donald Ray Fulsom practices in Tyler, TX and has the professional credentials of MD. The NPI Number for Donald Ray Fulsom is 1679568794 and holds a License No. L6047 (Texas).

The current practice location address for Donald Ray Fulsom is 401 E Front St, Tyler, TX and can be reached out via phone at 903-593-6550 and via fax at 903-593-6554. You can also correspond with Donald Ray Fulsom through the mailing address at 401 E FRONT ST, TYLER, TX - 75702-8213 (mailing address contact number: 903-593-6550).

Location: 401 E Front St, Tyler, TX, 75702-8213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679568794
Provider Name
Donald Ray Fulsom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
401 E Front St, Tyler, TX, 75702-8213
Phone Number
903-593-6550
Fax Number
903-593-6554
Provider Enumeration Date
09/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15804250 05 TX
institution
Provider Business Practice Location Address Details
Address
401 E Front St
City
Tyler
State
Texas
Zip
75702-8213
Phone Number
903-593-6550
Fax Number
903-593-6554
person
Provider Business Mailing Address Details
Address
401 E Front St
City
Tyler
State
Texas
Zip
75702-8213
Phone Number
903-593-6550
Fax Number
903-593-6554
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Psychiatry
Taxonomy
2084P0802X
License No.
L6047 (Texas)
Definition
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.
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