Organization
HISHAM BISMAR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HISHAM BISMAR M.D. (MEDICAL DOCTOR/OWNER)
(817) 568-0004
Entity
Organization
Contact information
Practice address
11807 SOUTH FREEWAY, STE 362, FORT WORTH, TX 76115
(817) 568-0004
(817) 568-0804
Mailing address
11807 SOUTH FREEWAY, STE 362, FORT WORTH, TX 76115
(817) 568-0004
(817) 568-0804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
TX
207RP1001X
Pulmonary Disease Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052BD
MEDICARE GROUP
TX
Enumeration date
10/02/2007
Last updated
01/11/2011
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