Individual
CASEY RYAN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA, CST
Contact information
Practice address
101 HOUSEFINCH LOOP, LEANDER, TX 78641-1961
(281) 935-8500
Mailing address
101 HOUSEFINCH LOOP, LEANDER, TX 78641-1961
(281) 935-8500
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
185229
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185229
NBSTSA
CO
Enumeration date
12/17/2018
Last updated
12/17/2018
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