Individual
DR. HISHAM BISMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11807 SOUTH FREEWAY, STE 362, FORT WORTH, TX 76115
(817) 568-0004
(817) 568-0804
Mailing address
11807 SOUTH FREEWAY, STE 362, FORT WORTH, TX 76115
(817) 568-0004
(817) 568-0804
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
H4873
TX
207RP1001X
Pulmonary Disease Physician
H4873
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139031213
—
TX
Enumeration date
05/11/2006
Last updated
01/11/2011
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