Individual
SUSAN KERSEY FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 N. RIVERSHIRE DR., SUITE 160, CONROE, TX 77304-2711
(936) 441-2020
(936) 756-0656
Mailing address
2855 GRAMERCY ST STE 400, HOUSTON, TX 77025-1697
(713) 668-6828
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M1092
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173629002
—
TX
Enumeration date
05/08/2006
Last updated
03/19/2021
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