Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750586509 Individual Practitioner Male Practitioner

Daniel W Fuller , ATC LAT

Specialist • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Daniel Fuller, ATC LAT is a registered healthcare professional specializing in Specialist in Tyler, TX. Practice services are available at 3414 GOLDEN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3414 Golden Rd

Tyler, TX 757018336

Telephone 9039397500
Fax 9035971245
Associated Practice Facility / Clinic
🏢 Tyler Anesthesia Group, Pa Facility NPI 1740228261

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Tyler, TX (2033 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX AT1427

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lynsie Doughten , FNP-C

Nurse Practitioner - Family

NPI 1013754043

Family Nurse Practitioner (Certified)

Dr. Claire Tibiletti , MD

Pain Medicine - Interventional Pain Medicine

NPI 1013937556

Doctor of Medicine (M.D.)

Jordan Cooke , PA-C

Physician Assistant - Surgical

NPI 1033628383

Physician Assistant (Certified)

Marc Reimers , FNP-C

Nurse Practitioner - Family

NPI 1053946368

Family Nurse Practitioner (Certified)

Dr. Andrew Hester , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1063874071

Doctor of Medicine (M.D.)

Lindsey Markel , FNP-C

Nurse Practitioner - Family

NPI 1104450832

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3414 GOLDEN RD, TYLER, TX 757018336 (Tel: 9039397500)

📍
Updated Business Mailing Address July 08, 2007

Registered at 447 REDBUD CIR, WHITEHOUSE, TX 757914405 (Tel: 9038712634)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DANIEL FULLER, ATC. LAT.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #AT1427 in TX)

🟢
Initial NPI Registration & Enumeration June 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1750586509
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

447 Redbud Cir

Whitehouse, TX 757914405

Phone: 9038712634

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.