DWAIN FULLER M.D. . NPI 1184623639

NPI Information

  • NPI: 1184623639
  • Provider Name: DWAIN FULLER, M.D. .
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • Address: 9600 N. CENTRAL EXPRESSWAY
    SUITE 100
    DALLAS, TX
    ZIP 75231
  • Phone: (214) 692-6941

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NPI Details

Dwain Fuller, M.D. . is an ophthalmology in Dallas, TX. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Dwain Fuller, M.D. . NPI is 1184623639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9600 N. CENTRAL EXPRESSWAY
SUITE 100
DALLAS, TX
ZIP 75231-078
Phone: (214) 692-6941

The enumeration date for this NPI number is 7/18/2005 and was last updated on 2/6/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyD3227TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1129267407MEDICAIDTEXAS
2129267409MEDICAIDTEXAS
3C15814MEDICARE UPINTEXAS
4129267408MEDICAIDTEXAS
58G0119MEDICARE PINTEXAS
6P00299463MEDICARE PIN
78G0117MEDICARE PINTEXAS
88G0118MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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