Fisher, Mary Leah

Fisher, Mary Leah is an individual health care provider with primary practice located at 3601 4Th St , Lubbock TX 79430-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Fisher, Mary Leah can be contacted via phone (806) 317-0016.

Contact Information

Primary practice address
3601 4Th St Lubbock TX 79430-0002
Phone: (806) 317-0016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD60126645 Washington
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2086H0002X U5188 Texas

Profile Details

NPI number 1871503102
LBN Legal business name Fisher, Mary Leah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Oct 18th, 2023 - about last year

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 1871503102 NPPES
Arkansas MEDICAID 148564001

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