Individual provider · Type 1 NPI

Robert Edward Fusselman, MD

Diagnostic Radiology Physician · Fort Worth, TX

NPI number 1386624492 Active

Practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Call (817) 321-0312 Map

Fax (817) 317-7033

Mailing address

817 W Cannon St
Fort Worth, TX 76104-3147

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician 2085B0100XG5071 (TX)
Neuroradiology Physician 2085N0700XG5071 (TX)
Nuclear Radiology Physician 2085N0904XG5071 (TX)
Pediatric Radiology Physician 2085P0229XG5071 (TX)
Diagnostic Radiology Physician Primary 2085R0202XG5071 (TX)
Vascular & Interventional Radiology Physician 2085R0204XG5071 (TX)
Diagnostic Ultrasound Physician 2085U0001XG5071 (TX)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1386624492

Robert Edward Fusselman, MD's National Provider Identifier is 1386624492, issued on Jan 17, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 14, 2012.