Healthcare Provider Details

I. General information

NPI: 1700221900
Provider Name (Legal Business Name): S J FISHER & ASSOCIATES FOOT & ANKLE SPECIALIST PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2013
Last Update Date: 06/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15200 SOUTHWEST FWY STE 310
SUGAR LAND TX
77478-3864
US

IV. Provider business mailing address

5151 KATY FWY STE 200
HOUSTON TX
77007-2261
US

V. Phone/Fax

Practice location:
  • Phone: 281-313-6300
  • Fax: 832-673-0060
Mailing address:
  • Phone: 832-673-0500
  • Fax: 832-673-0060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number1609
License Number StateTX

VIII. Authorized Official

Name: DR. SYBIL J FISHER
Title or Position: OWNER
Credential: DPM
Phone: 281-313-6300