Fuller, Colin Wyatt

Fuller, Colin Wyatt is an individual health care provider with primary practice located at 1500 Cooper St , Fort Worth TX 76104-2710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Fuller, Colin Wyatt can be contacted via phone (682) 885-6850.

Contact Information

Primary practice address
1500 Cooper St Fort Worth TX 76104-2710
Phone: (682) 885-6850
Fax: (682) 885-6799
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X W4468 Texas
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 67805 Oklahoma
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 6781 Georgia

Profile Details

NPI number 1922413343
LBN Legal business name Fuller, Colin Wyatt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2014
Last updated Jul 28th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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