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NPI Code Detail

MEDICARE: TY-RAY FISHER

MEDICARE:   TY-RAY  FISHER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1146L00000XParamedic776854TX

General Provider Information

NPI Number : 1316882681
Entity Type Code : Individual
Provider Name (Legal Business Name) : TY-RAY FISHER
Provider Business Mailing Address
First Line : 3415 CARRIAGE HOUSE DR
Second Line :
City : RICHMOND
State : TX
Zip : 77406-6862
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3415 CARRIAGE HOUSE DR
Second Line :
City : RICHMOND
State : TX
Zip : 77406-6862
Country : US
Telephone Number : 910-381-2615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “ TY-RAY FISHER ” Practice Location

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