Individual
BRIAN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
3509 VISTA CIRCLE, GRAND PRAIRIE, TX 75052
(972) 623-8203
Mailing address
3509 VISTA CIR, GRAND PRAIRIE, TX 75052-7861
(972) 623-8203
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
07/21/2022
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