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Individual

GARY FISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9600 N. CENTRAL EXPRESSWAY, SUITE 100, DALLAS, TX 75231-5078
(214) 692-6941
Mailing address
PO BOX 650037, DALLAS, TX 75265-0037
(214) 696-2008

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D9439
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134470707
TX
05
134470709
TX
05
134470710
TX
05
134470711
TX
Enumeration date
07/14/2005
Last updated
02/06/2013
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