Individual
DR. JOHN DAVID FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 SOUTHWEST FWY, SUITE 810, HOUSTON, TX 77074-1802
(713) 772-1200
(713) 772-0258
Mailing address
13811 MURPHY RD, STAFFORD, TX 77477-4903
(713) 772-1200
(713) 772-0258
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H5441
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10017714
AMERIGROUP
TX
05
—
1284405-01
—
TX
01
—
20021659
MEDICARE RR
TX
01
—
4321503
AETNA
TX
01
—
5489574
CIGNA
TX
Enumeration date
10/04/2006
Last updated
06/14/2021
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