Individual
MICHAEL J. FISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
L2249
TX
208VP0000X
Pain Medicine Physician
L2249
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42030901
—
TX
01
—
88797X
BCBS
TX
01
—
Q00064665
RAILROAD MEDICARE
TX
Enumeration date
10/05/2006
Last updated
06/29/2021
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