Dr. Donald Ray Fulsom
M.D. | Psychiatry | Child & Adolescent
306 E Houston St, Tyler
Texas, 75702-8218
903-593-6550 903-593-6554
Maps & DirectionsDr. Donald Ray Fulsom is a Tyler, Texas based psychiatrist who is specialized in Child & Adolescent. Active license number of Dr. Donald Ray Fulsom is L6047 for Addiction Psychiatry in Texas. His current practice location is 306 E Houston St, Tyler. Patients can reach him at 903-593-6550 or can fax him at 903-593-6554. Dr. Donald Ray Fulsom is M.D. in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1679568794.
Dr. Donald Ray Fulsom has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Dr. Donald Ray Fulsom speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Donald Ray Fulsom |
| Specialization: | Child & Adolescent |
| Gender: | Male |
| Credentials: | M.D. |
| Practice Address: | 306 E Houston St, Tyler,
Texas, 75702-8218 |
| Phone: | 903-593-6550 |
| Fax: | 903-593-6554 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1679568794 |
| NPI Enumeration Date: | 14 Sep, 2005 |
| NPI Last Update On: | 14 May, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Donald Ray Fulsom are as mentioned below.
| License Number | Specialization | State | Status | |
| L6047 | Addiction Psychiatry | Texas | Primary | |
| L6047 | Child & Adolescent | Texas | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Donald Ray Fulsom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 158042501 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Donald Ray Fulsom
306 E Houston St,
Tyler, Texas |
| Zip: | 75702-8218 |
| Phone Number: | 903-593-6550 |
| Fax Number: | 903-593-6554 |
Patients can reach Dr. Donald Ray Fulsom at
306 E Houston St, Tyler, Texas or can
call to book an appointment on 903-593-6550.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.