Individual
ANASTASIA FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
58 W 761ST TANK BATTALION AVE, FORT HOOD, TX 76544
(254) 287-5410
Mailing address
3009 IRA YOUNG DR APT 501, TEMPLE, TX 76504-6311
(310) 944-2915
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1221526
TX
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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