Individual
DR. DANIEL BRIAN FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 NE 3RD ST, SUITE C, SEMINOLE, TX 79360-3613
(432) 758-6015
Mailing address
201 NE 3RD ST, SUITE C, SEMINOLE, TX 79360
(432) 758-6015
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
J6015
TX
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
Primary
J6105
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140091323
—
TX
Enumeration date
01/11/2007
Last updated
01/15/2015
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