Healthcare Provider Details

I. General information

NPI: 1871187633
Provider Name (Legal Business Name): MORGAN FISHER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2021
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ORTHOPEDIC WAY
ARLINGTON TX
76015-1629
US

IV. Provider business mailing address

PO BOX 35232 ATTN: CREDENTIALING DEPARTMENT
BELFAST ME
04915-0630
US

V. Phone/Fax

Practice location:
  • Phone: 817-375-5200
  • Fax: 817-299-1708
Mailing address:
  • Phone: 817-375-5200
  • Fax: 817-299-1708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA14046
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: