Individual provider · Type 1 NPI
Donald Ray Fulsom, MD
Addiction Psychiatry Physician · Tyler, TX
NPI number
1679568794
Active
Practice location
306 E Houston St
Tyler, TX 75702-8218
Fax (903) 593-6554
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | L6047 (TX) |
| Addiction Psychiatry Physician Primary | 2084P0802X | L6047 (TX) |
Addiction Psychiatry Physician: 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.
Another provider at this address
About NPI 1679568794
Donald Ray Fulsom, MD's National Provider Identifier is 1679568794, issued on Sep 14, 2005. The primary taxonomy on file is Addiction Psychiatry Physician (2084P0802X), and the practice location is in Tyler, TX. The record was last updated on May 14, 2025.