Organization
FISHER CARDIOLOGY AND ELECTROPHYISOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL G FISHER D.O. (OWNER)
(817) 510-1060
Entity
Organization
Contact information
Practice address
1305 AIRPORT FWY, SUITE 421, BEDFORD, TX 76021-6605
(817) 510-1060
(817) 510-9940
Mailing address
1305 AIRPORT FWY, SUITE 421, BEDFORD, TX 76021-6605
(817) 510-1060
(817) 510-9940
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
207UN0902X
Nuclear Imaging & Therapy Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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