Healthcare Provider Details

I. General information

NPI: 1467778902
Provider Name (Legal Business Name): EMILY ANNE FISHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2010
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2060 S COLORADO ST
LOCKHART TX
78644-3951
US

IV. Provider business mailing address

PO BOX 1890
GONZALES TX
78629-1390
US

V. Phone/Fax

Practice location:
  • Phone: 830-494-4001
  • Fax: 877-599-5676
Mailing address:
  • Phone: 830-672-6511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberQ9348
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: