Daniel W. Fuller, ATC. LAT.

Specialist · Tyler, TX

Individual Active NPI

NPI number 1750586509

Practice location

3414 Golden Rd
Tyler, TX 75701-8336
Phone
(903) 939-7500
Fax
(903) 597-1245

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NPI record

NPI
1750586509
Entity type
Individual (Type 1)
Enumeration date
June 20, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X AT1427 TX

Mailing address

447 Redbud Cir
Whitehouse, TX 75791-4405
Phone
(903) 871-2634

About Daniel Fuller

Daniel W. Fuller, ATC. LAT. is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 3414 Golden Rd, Tyler, TX 75701-8336. The NPI number 1750586509 was assigned on June 20, 2007 and the record was last updated on July 8, 2007.

Daniel Fuller lists a license in the registry: #AT1427 (TX) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Daniel W. Fuller, ATC. LAT.?

The NPI number is 1750586509.

What is the phone number of Daniel Fuller?

The phone number listed for the practice location is (903) 939-7500.

Where is Daniel Fuller located?

3414 Golden Rd, Tyler, TX 75701-8336.

What is the taxonomy code for Daniel Fuller?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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