Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Donald Ray Fulsom, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1679568794

Dr. Donald Ray Fulsom, MD is a Child & Adolescent Psychiatry Physician in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

306 E Houston St
Tyler, TX 75702-8218
Phone: (903) 593-6550
Fax: (903) 593-6554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Psychiatry Physician (primary) Taxonomy 2084P0802X · Licence L6047 (TX)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence L6047 (TX)

Record details

NPI number1679568794
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 14, 2005
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025

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