Individual
CRAIG FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-7412
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
S7650
TX
207N00000X
Dermatology Physician
Primary
S7650
TX
208D00000X
General Practice Physician
Primary
S7650
TX
Other
Enumeration date
03/27/2019
Last updated
05/27/2026
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