Healthcare Provider Details

I. General information

NPI: 1609742089
Provider Name (Legal Business Name): FISCH LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 W HORIZON RIDGE PKWY
HENDERSON NV
89052-4664
US

IV. Provider business mailing address

2950 W HORIZON RIDGE PKWY
HENDERSON NV
89052-4664
US

V. Phone/Fax

Practice location:
  • Phone: 702-722-2229
  • Fax: 702-778-7672
Mailing address:
  • Phone: 702-722-2229
  • Fax: 702-778-7672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. MILISSA FISCH
Title or Position: FINANCIAL DIRECTOR
Credential:
Phone: 702-722-2229