Individual
DR. JOHN PETER FITZSIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 CLARA BARTON BLVD STE 250, GARLAND, TX 75042-5781
(469) 436-3650
(844) 846-8853
Mailing address
4820 OVERTON HOLLOW ST, FT WORTH, TX 76109-2417
(817) 657-1062
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD428785
PA
2085R0204X
Vascular & Interventional Radiology Physician
51583
TN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
K8154
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03452512
—
MS
01
—
091272
HIGHMARK
—
05
—
101769609
—
PA
05
—
1780613240
—
MO
05
—
2697498
—
OH
05
—
Q023277
—
TN
Enumeration date
06/30/2006
Last updated
10/07/2021
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