P Praxis·MD
● Active Type 1 · Individual

Daniel W Fuller, ATC. LAT.

Specialist·Tyler, TX· NPI 1750586509 · Enumerated 2007 · 18 years on NPI
Fuller is 1 of 32 specialist providers in Tyler and 1 of 4038 in Texas.
NPI age
18 years
Enumerated 2007-06-20
Primary specialty
Specialist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 4038 active specialist providers in Texas.

NPI age
18 years
≈ at median (18 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
3414 Golden Rd
Tyler, TX 757018336
📞 9039397500fax 9035971245
Mailing address
447 Redbud Cir
Whitehouse, TX 757914405
📞 9038712634

Specialties

  • Specialist Primary
    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.
    TX license #AT1427 taxonomy 174400000X

Practice context

Part of a multi-provider practice. 61 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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