Fisher, Russell G

Fisher, Russell G is an individual health care provider with primary practice located at 1305 Airport Fwy Suite 424, Bedford TX 76021-6605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Fisher, Russell G can be contacted via phone (817) 510-1060.

Contact Information

Primary practice address
1305 Airport Fwy Suite 424 Bedford TX 76021-6605
Phone: (817) 510-1060
Fax: (817) 510-9940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G9453 Texas

Profile Details

NPI number 1740282268
LBN Legal business name Fisher, Russell G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Oct 1st, 2014 - about 10 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 1740282268 NPPES
Texas MEDICAID 138616117
Texas MEDICAID 138616115
Texas MEDICAID 138616116

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