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Organization
TYFMD PLLC
Active
Organization
TYFMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED YOSHIO FISHER MD (PRESIDENT)
(972) 822-1957
Entity
Organization
Contact information
Practice address
628 G ST, BRAWLEY, CA 92227-2544
(972) 822-1957
Mailing address
2931 RIDGE RD, STE 101-52, ROCKWALL, TX 75032-6670
(972) 822-1957
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A052523
CA
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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