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NPI 1124118328

NPI 1124118328 : PETER FISHER M.D. : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1124118328
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    Entity Type          |    Individual 
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    Provider Name        |    PETER FISHER M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/16/2006
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    Last Update Date     |    12/20/2016
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Provider Practice Location Address
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    Address Line         |    7950 FLOYD CURL DR STE. 904
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229-3919
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    Country              |    US
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    Telephone            |    210-616-0798
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    Fax                  |    210-616-0581
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Provider Business Mailing Address
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    Address Line         |    MEDICAL CENTER TOWER 1, 7950 FLOYD CURL DR SUITE 1009
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229-3926
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    Country              |    US
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    Telephone            |    210-616-0798
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    Fax                  |    210-616-0581
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    H7142
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    License Number State |    TX
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