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Individual

MRS. MARCIA LYNN FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
6300 IRVINGTON BLVD, HOUSTON, TX 77022-5618
(713) 694-6300
Mailing address
734 BEACHCOMBER LN, HOUSTON, TX 77062-4202
(281) 488-7684

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
101278
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AA137968
NBCOT
TX
Enumeration date
05/07/2007
Last updated
07/08/2007
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