Healthcare Provider Details

I. General information

NPI: 1467469387
Provider Name (Legal Business Name): RICHARD E FISCHER AND ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 08/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12709 TOEPPERWEIN RD STE 203
SAN ANTONIO TX
78233-3259
US

IV. Provider business mailing address

12709 TOEPPERWEIN RD STE 203
SAN ANTONIO TX
78233-3259
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 TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberG8698
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberF9523
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberH8473
License Number StateTX

VIII. Authorized Official

Name: DR. RICHARD E FISCHER
Title or Position: PRESIDENT
Credential: MD
Phone: 210-653-9307