Individual provider · Type 1 NPI

Colin Wyatt Fuller, MD

Pediatric Otolaryngology Physician · Fort Worth, TX

NPI number 1922413343 Active

Practice location

1500 Cooper St
Fort Worth, TX 76104-2710

Call (682) 885-6850 Map

Fax (682) 885-6799

Mailing address

PO Box 733784
Dallas, TX 75373-3784

Specialties and licenses

TaxonomyCodeLicense
Pediatric Otolaryngology Physician Primary 207YP0228XW4468 (TX)
Pediatric Otolaryngology Physician 207YP0228X67805 (OK)
Otolaryngology Physician 207Y00000X6781 (GA)

Pediatric Otolaryngology Physician: A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearin…

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About NPI 1922413343

Colin Wyatt Fuller, MD's National Provider Identifier is 1922413343, issued on Jun 24, 2014. The primary taxonomy on file is Pediatric Otolaryngology Physician (207YP0228X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 28, 2026.