Dwain G Fuller (NPI# 1184623639, PAC ID# 5597752501) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1184623639 |
| PAC ID by PECOS | 5597752501 |
| Professional Enrollment ID | I20040429001129 |
| Full Name | Dwain G Fuller |
| Organization Legal Name | TEXAS RETINA ASSOCIATES |
| Address |
10740 N Central Expy Suite 170 Dallas TX 75231-2103 |
| Phone Number | 2143632300 |
| Gender | M |
| Credential | MD |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1966 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 7012969843 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10740 N Central Expy, Suite 170, Dallas, TX 75231-2103 | 2143632300 | TEXAS RETINA ASSOCIATES |
| 9600 N Central Expy, Suite 100, Dallas, TX 75231-5078 | 2146926941 | TEXAS RETINA ASSOCIATES |
| Organization Legal Name | TEXAS RETINA ASSOCIATES |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashkan Abbey | Ophthalmology | Texas Retina Associates | 9600 N Central Expy, Suite 100, Dallas, TX 75231-5078 |
| Ivan Castillo-salazar | Ophthalmology | Texas Retina Associates | 7030 New Sanger Rd, Suite 102, Waco, TX 76712-4073 |
| Michel J Shami | Ophthalmology | Texas Retina Associates | 4517 98th St, Lubbock, TX 79424-5013 |
| William B Spencer | Ophthalmology | Texas Retina Associates | 1101 6th Ave, Suite 200, Fort Worth, TX 76104-4377 |
| Gary E Fish | Ophthalmology | Texas Retina Associates | 2380 S Goliad St, Suite 120, Rockwall, TX 75032-6506 |
| Nikisha Ashok Kothari | Ophthalmology | Texas Retina Associates | 801 W Randol Mill Rd, Suite 101, Arlington, TX 76012-2505 |
| Patrick D Williams | Ophthalmology | Texas Retina Associates | 801 W Randol Mill Rd, Suite 101, Arlington, TX 76012-2505 |
| Lori E Coors | Ophthalmology | Texas Retina Associates | 1708 Coit Rd, Suite 215, Plano, TX 75075-5025 |
| Rajiv Anand | Ophthalmology | Texas Retina Associates | 10740 N Central Expy, Suite 170, Dallas, TX 75231-2103 |
| Wayne A Solley | Ophthalmology | Texas Retina Associates | 801 W Randol Mill Rd, Suite 101, Arlington, TX 76012-2505 |
| Street Address |
10740 N CENTRAL EXPY SUITE 170 |
| City | DALLAS |
| State | TX |
| Zip | 75231-2103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Oluwatosin U Smith | Ophthalmology | Glaucoma Associates of Texas Pa | 10740 N Central Expy, Suite 300, Dallas, TX 75231-2168 |
| Helen Kornmann | Ophthalmology | Glaucoma Associates of Texas Pa | 10740 N Central Expy, Suite 300, Dallas, TX 75231-2168 |
| Rajiv Anand | Ophthalmology | Texas Retina Associates | 10740 N Central Expy, Suite 170, Dallas, TX 75231-2103 |
| Ronald L Fellman | Ophthalmology | Glaucoma Associates of Texas Pa | 10740 N Central Expy, Suite 300, Dallas, TX 75231-2168 |
| Timothy Fuller | Ophthalmology | Texas Retina Associates | 10740 N Central Expy, Suite 170, Dallas, TX 75231-2103 |
| John Depasse | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 10740 N Central Expy, Suite 400, Dallas, TX 75231-2162 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trisha Jayantilal Patel | Dermatology | Oliver Street 5.01(a) Inc. | 8210 Walnut Hill Lane Pob 1, Suite 810, Dallas, TX 75231 |
| Azra Idrizovic | Ophthalmology | Arvind Neelakantan Md Pa | 9600 N Central Expressway, 300 Glaucoma Center of Texas, Dallas, TX 75231 |
| Alyssa R Spiegel | Physician Assistant | Mindful Dermatology Pa | 9101 N Central Ecpressway, Suite 160, Dallas, TX 75231 |
| Charles F Irwin | Anesthesiology | Anesthesia Partners of Dallas Pa | 8200 Walnut Hill Lane, Dallas Presbyterian Hospital, Dallas, TX 75231 |
| Bradley A Hubbard | Plastic and Reconstructive Surgery | 9101 N Central Expressway, Suite 600, Dallas, TX 75231 | |
| Jennifer C Cather | Dermatology | Mindful Dermatology Pa | 9101 N Central Ecpressway, Suite 160, Dallas, TX 75231 |
| Michael C Holub | Anesthesiology | Anesthesia Partners of Dallas Pa | 8200 Walnut Hill Lane, Dallas Presbyterian Hospital, Dallas, TX 75231 |
| Bruce Beavers | Orthopedic Surgery | 8220 Walnut Hill Lane, Suite 300, Dallas, TX 75231 | |
| Mark H. Gillie | Anesthesiology | Anesthesia Partners of Dallas Pa | 8200 Walnut Hill Lane, Dallas Presbyterian Hospital, Dallas, TX 75231 |
| Melodie S Young | Nurse Practitioner | Mindful Dermatology Pa | 9101 N Central Ecpressway, Suite 160, Dallas, TX 75231 |
| Find all physicians in zip 75231 | |||
| City | DALLAS |
| Zip Code | 75231 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | DALLAS + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Dwain G Fuller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.