Individual
GARY W FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 LONDONDERRY DR., SUITE 105, WOODWAY, TX 76712
(254) 776-0266
(254) 776-2511
Mailing address
PO BOX 224137, DALLAS, TX 75222-4137
(254) 776-0266
(254) 776-2511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G8108
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120252503
—
TX
Enumeration date
08/10/2006
Last updated
03/14/2014
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