MEDICARE: DR. SYBIL J FISHER DPM

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	213E00000X	Podiatrist	1609	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558338848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYBIL J FISHER DPM

Provider Business Mailing Address
First Line	:	5151 KATY FWY STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-2261
Country	:	US
Telephone Number	:	832-673-0500
Fax Number	:	832-673-0060

Provider Business Practice Location Address
First Line	:	5151 KATY FWY STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-2261
Country	:	US
Telephone Number	:	832-673-0500
Fax Number	:	832-673-0060

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

Provider Enumeration Date	:	03/05/2006
Last Update Date	:	10/14/2018

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