Individual
DANA FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
430210
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003422502
—
TX
05
—
003422504
—
TX
05
—
003422505
—
TX
01
—
430032255
MEDICARE RAILROAD
TX
01
—
8187UA
BLUE CROSS BLUE SHIELD
TX
01
—
89152C
BLUE CROSS PROVIDER ID
TX
Enumeration date
12/27/2005
Last updated
01/31/2011
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