Individual
HEIDI M FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3535 S I-35 E, DENTON, TX 76210-6850
(432) 528-0245
Mailing address
1217 JASMINE ST, LANTANA, TX 76226-5567
(432) 528-0245
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07730
TX
363A00000X
Physician Assistant
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291881501
—
TX
Enumeration date
01/05/2012
Last updated
07/16/2021
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