DWAIN FULLER (M.D. .) – Ophthalmology Physician, NPI 1184623639

DWAIN FULLER (M.D. .) is a healthcare provider. based in Dallas, Texas. specializing in Ophthalmology Physician. They hold the professional credentials M.D. .. They hold a License No. D3227 (TX). The NPI Number for DWAIN FULLER (M.D. .) is 1184623639

Main info

Male
60 Years Of Experience
Accepts Medicare Assignment
Name
DWAIN FULLER (M.D. .)
NPI
1184623639
Phone
(214) 696-2008
Address
PO BOX 650037
Enumeration Date
18 July 2005
Last Update Date
6 February 2013

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
2143632300
Graduation Year
1966 (60 years ago)
PAC ID
5597752501
Group Practice PAC ID
7012969843
Professional Enrollment ID
I20040429001129
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DWAIN FULLER (M.D. .)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752650037

    Phone: (214) 696-2008

    Type: Mailing

  • North Central Expressway, University Crossing PID, Dallas, TX, Dallas, Dallas County, Texas, 75206, United States

    SUITE 100

    DALLAS, TX 752315078

    Phone: (214) 692-6941

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75265)

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Provider's Procedures

DWAIN FULLER (M.D. .) performs procedures in Ophthalmology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYTX92012Eye and medical examination for diagnosis and treatment, established patient10898
OPHTHALMOLOGYTX92134Diagnostic imaging of retina35261246

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012969843View full group profile
NameSpecialtyState
NIKISHA ASHOK KOTHARI (M.D.)
O P H T H A L M O L O G YTX
PATRICK D. WILLIAMS (M.D.)
O P H T H A L M O L O G YTX
DR. IVAN G CASTILLO-SALAZAR (MD)
O P H T H A L M O L O G YTX
DIANA LAURA (MD)
O P H T H A L M O L O G YFL
LORI COORS (M.D.)
O P H T H A L M O L O G YTX
RAJIV ANAND (M.D.)
O P H T H A L M O L O G YTX
WAYNE A. SOLLEY (M.D.)
O P H T H A L M O L O G YTX
DR. ASHKAN MICHAEL ABBEY (M.D.)
O P H T H A L M O L O G YTX
DAVID CALLANAN (M.D.)
-TX
ROBERT C. WANG (M.D.)
O P H T H A L M O L O G YTX

Reviews

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Frequently asked questions

What is the registry number for DWAIN FULLER (M.D. .)?
The registry entry for DWAIN FULLER (M.D. .) shows NPI 1184623639.
Should I treat DWAIN FULLER (M.D. .) as an active provider?
Patients and plans typically see DWAIN FULLER (M.D. .) as active in the national extract.
What services align with DWAIN FULLER (M.D. .)'s listing?
DWAIN FULLER (M.D. .)'s public classification highlights Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DWAIN FULLER (M.D. .)?
The directory associates DWAIN FULLER (M.D. .) with Dallas, Texas. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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