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

NPI Status: Active since June 20, 2007

Contact Information

3414 GOLDEN RD
TYLER, TX
ZIP 75701
Phone: (903) 939-7500
Fax: (903) 597-1245

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  • Individual
  • Male
  • Specialist

About DANIEL FULLER

This page provides the complete NPI Profile along with additional information for Daniel Fuller, a provider established in Tyler, Texas with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1750586509 assigned on June 2007. The practitioner's primary taxonomy code is 174400000X with license number AT1427 (TX). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1750586509
Provider Name
DANIEL W FULLER ATC. LAT.
Gender
Male
Entity Type
Individual
Location Address
3414 GOLDEN RD TYLER, TX 75701
Location Phone
(903) 939-7500
Location Fax
(903) 597-1245
Mailing Address
447 REDBUD CIR WHITEHOUSE, TX 75791
Mailing Phone
(903) 871-2634
Is Sole Proprietor?
Yes
Enumeration Date
06-20-2007
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
AT1427
License State
TX
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750586509
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001081250
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 8 + 1 + 2 + 5 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1750586509 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MR. JAMES DANIEL WOODRUFF PTA

Physical Therapy Assistant

3414 GOLDEN RD
TYLER, TX
ZIP 75701

(903) 597-0837

JOEL E. GANGROSS LAT

Specialist

3414 GOLDEN RD
TYLER, TX
ZIP 75701

(903) 939-7500

MR. JESSE P AMBURN LAT,ATC

Specialist/Technologist

(Athletic Trainer)

3414 GOLDEN RD
TYLER, TX
ZIP 75701

(903) 939-7500

DR. MOONA ZIA KHAN M.D

Family Medicine

3414 GOLDEN RD
TYLER, TX
ZIP 75701

(903) 590-3050

CHRISTINE TAMARA KNIGHT PT

Physical Therapist

3414 GOLDEN RD
TYLER, TX
ZIP 75701

(903) 939-7500

JORDAN NICOLE SPARKS COTA

Occupational Therapy Assistant

3414 GOLDEN RD
TYLER, TX
ZIP 75701

(903) 939-7500

DR. DENNIS DALE CHOATE II DPT

Physical Therapist

3414 GOLDEN RD
TYLER, TX
ZIP 75701

(903) 939-7550

MRS. CAROL RENEE HINOJOSA OTR

Occupational Therapist

3414 GOLDEN RD
TYLER, TX
ZIP 75701

(903) 597-0837

MR. JOHN FRANKLIN PRIDDY MD

Orthopaedic Surgery

(Foot and Ankle Surgery)

3414 GOLDEN RD
TYLER, TX
ZIP 75701

(903) 939-7500

MR. JOHN FLETCHER WALKER MD

Orthopaedic Surgery

3414 GOLDEN RD
TYLER, TX
ZIP 75701

(903) 939-7500

MR. ROBERT DANIEL WALKER PA

Physician Assistant

(Surgical)

3414 GOLDEN RD
TYLER, TX
ZIP 75701

(903) 939-7500

SABBIE LINDA BRASHER FNP-C

Internal Medicine

3414 GOLDEN RD
TYLER, TX
ZIP 75701

(903) 939-7500

MR. CHAD JOSEPH MCNEIL MD

Physical Medicine & Rehabilitation

3414 GOLDEN RD
TYLER, TX
ZIP 75701

(903) 939-7500

DREW C WOOCK OT

Occupational Therapist

3414 GOLDEN RD
TYLER, TX
ZIP 75701

(903) 939-7599

MICHAEL PARCON PT

Physical Therapist

3414 GOLDEN RD
TYLER, TX
ZIP 75701

(903) 939-7599

JENNIFER TURNER

Nurse Practitioner

3414 GOLDEN RD
TYLER, TX
ZIP 75701

(903) 939-7500

KRISTOPHER NEELY

Physical Therapist

3414 GOLDEN RD
TYLER, TX
ZIP 75701

(903) 939-7500

OLSV3 PLLC

Orthopaedic Surgery

3414 GOLDEN RD
TYLER, TX
ZIP 75701

(713) 799-2300

COREY STARKS MOTR

Occupational Therapist

3414 GOLDEN RD
TYLER, TX
ZIP 75701

(903) 939-7599

MR. ROBERT WAYNE DENNIS MD

Orthopaedic Surgery

(Sports Medicine)

3414 GOLDEN RD
TYLER, TX
ZIP 75701

(903) 939-7500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750586509, enumerated as an "individual" on June 20, 2007.

The provider is located at 3414 GOLDEN RD TYLER, TX 75701 and the phone number is (903) 939-7500.

Specialist with taxonomy code 174400000X.