Healthcare Provider Details

I. General information

NPI: 1801803143
Provider Name (Legal Business Name): RICHARD EMIL FISCHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 12/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12709 TOEPPERWEIN 302
LIVE OAK TX
78233-3259
US

IV. Provider business mailing address

8109 FREDERICKSBURG RD PHYSICIAN PRACTICE SERVICES
SAN ANTONIO TX
78229-3259
US

V. Phone/Fax

Practice location:
  • Phone: 210-653-9307
  • Fax: 210-653-7014
Mailing address:
  • Phone: 210-653-9307
  • Fax: 210-653-7014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberG8698
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: