MEDICARE: WILLIAM F FISHER MD

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
1	207P00000X	Emergency Medicine Physician	F5202	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	930116203	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8Z2002	OTHER	TX	BCBS
2	8F5770	OTHER	TX	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417981317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM F FISHER MD

Provider Business Mailing Address
First Line	:	PO BOX 58312
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77258-8312
Country	:	US
Telephone Number	:	713-530-4530
Fax Number	:	281-474-2948

Provider Business Practice Location Address
First Line	:	1119 WOODBANK DR
Second Line	:
City	:	SEABROOK
State	:	TX
Zip	:	77586-4014
Country	:	US
Telephone Number	:	713-530-4530
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	11/25/2015

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Directions to “ WILLIAM F FISHER MD” Practice Location

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