Individual
BRADLEY FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
419 WSW LOOP 323 STE 400, TYLER, TX 75701-7063
(903) 595-8077
Mailing address
419 WSW LOOP 323 STE 400, TYLER, TX 75701-7063
(903) 372-7308
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1030649
TX
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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