DANIEL W FULLER ATC. LAT.
NPI 1750586509
Specialist in Tyler, TX

Active since June 20, 2007
3414 GOLDEN RD, TYLER, TX 75701(903) 939-7500(903) 597-1245 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel W Fuller Atc. Lat. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL W FULLER ATC. LAT. (NPI 1750586509) is an individual specialist in Tyler, Texas, licensed in Texas (AT1427) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1750586509
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDANIEL W FULLERCredential: ATC. LAT.
Location Address3414 GOLDEN RDTyler, TX 75701-8336
Mailing Address447 Redbud CirWhitehouse, TX 75791-4405 · (903) 871-2634
Fax(903) 597-1245
Sole ProprietorYes
Enumeration DateJune 20, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1750586509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TX · AT1427
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3414 GOLDEN RD, Tyler, TX 75701

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3414 GOLDEN RD
TYLER, TX 75701
Pain Medicine (Interventional Pain Medicine)
3414 GOLDEN RD
TYLER, TX 75701
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
3414 GOLDEN RD
TYLER, TX 75701
Orthopaedic Surgery
3414 GOLDEN RD
TYLER, TX 75701
Physical Therapist
3414 GOLDEN RD
TYLER, TX 75701
Physical Therapist
3414 GOLDEN RD
TYLER, TX 75701
Physician Assistant (Surgical)
3414 GOLDEN RD
TYLER, TX 75701
Physical Medicine & Rehabilitation
3414 GOLDEN RD
TYLER, TX 75701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Fuller's NPI number?

The NPI number for Daniel Fuller is 1750586509. It was assigned to this individual provider in the NPPES registry on June 20, 2007.

Where is Daniel Fuller located?

Daniel Fuller practices at 3414 Golden Rd, Tyler, TX 75701. The listed phone number is (903) 939-7500.

What is Daniel Fuller's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Daniel Fuller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.