Bismar, Hisham

Bismar, Hisham is an sole proprietor health care provider with primary practice located at 11807 South Freeway, Ste 362 , Fort Worth TX 76115. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Bismar, Hisham can be contacted via phone (817) 568-0004.

Contact Information

Primary practice address
11807 South Freeway, Ste 362 Fort Worth TX 76115
Phone: (817) 568-0004
Fax: (817) 568-0804
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X H4873 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X H4873 Texas

Profile Details

NPI number 1154371078
LBN Legal business name Bismar, Hisham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Jan 11th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154371078 NPPES
Texas MEDICAID 139031213

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