# TYFMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427416551
- **Authorized official:** DR. TED YOSHIO FISHER MD (PRESIDENT)
- **Authorized official phone:** (972) 822-1957

## Contact information

- **Practice address:** 628 G ST, BRAWLEY, CA 92227-2544
- **Practice address phone:** (972) 822-1957
- **Mailing address:** 2931 RIDGE RD, STE 101-52, ROCKWALL, TX 75032-6670
- **Mailing address phone:** (972) 822-1957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A052523 | CA | Yes |

## Other

- **Enumeration date:** 02/03/2016
- **Last updated:** 02/03/2016