Individual
JASON S. FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSHS
Contact information
Practice address
UT SOUTHWESTERN MEDICAL CTR, 5323 HARRY HINES BLVD, DALLAS, TX 75390-9126
(214) 648-2383
Mailing address
UT SOUTHWESTERN MEDICAL CTR, 5303 HARRY HINES BLVD, DALLAS, TX 75390-9124
(214) 645-8620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A90442
CA
207R00000X
Internal Medicine Physician
Primary
P0382
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A904420
—
CA
Enumeration date
01/17/2007
Last updated
04/26/2012
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