Individual
DR. LISA M. FICHTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
155 E SONTERRA BLVD, SUITE 200, SAN ANTONIO, TX 78258-3987
(210) 593-5700
(210) 593-2664
Mailing address
155 E SONTERRA BLVD, SUITE 200, SAN ANTONIO, TX 78258-3987
(210) 593-5700
(210) 593-2664
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
J2000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124289302
—
TX
01
—
5659245
AETNA PIN #
—
Enumeration date
07/26/2006
Last updated
07/11/2013
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