Individual
DR. RICHARD DAVID FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6624 FANNIN ST, SUITE 2600, HOUSTON, TX 77030-2338
(713) 791-9401
(713) 790-0353
Mailing address
6624 FANNIN ST, SUITE 2600, HOUSTON, TX 77030-2338
(713) 791-9401
(713) 790-0353
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G3356
TX
207RI0011X
Interventional Cardiology Physician
Primary
G3356
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129292201
—
TX
05
—
1678619
—
LA
05
—
205079304
—
MO
01
—
874223
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/22/2006
Last updated
01/20/2023
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