Individual
DR. AILEEN FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3120 N CAMINO LAGOS, GRAND PRAIRIE, TX 75054-6790
(817) 307-5257
Mailing address
3540 E BROAD ST STE 120-374, MANSFIELD, TX 76063-5633
(817) 307-5257
(833) 608-1543
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
K8151
TX
2084P0805X
Geriatric Psychiatry Physician
Primary
K8151
TX
Other
Enumeration date
10/11/2006
Last updated
10/04/2021
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