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1316882681 NPI number — TY-RAY FISHER

NPI Number: 1316882681
Health Care Provider/Practitioner: TY-RAY FISHER

Information about “1316882681” NPI (TY-RAY FISHER) exists in 1316882681 in HTML format HTML  |  1316882681 in plain Text format TXT  |  1316882681 in PDF (Portable Document Format) PDF  |  1316882681 in an XML format XML  formats.

NPI Number : 1316882681 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316882681",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FISHER",
    "FirstName": "TY-RAY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3415 CARRIAGE HOUSE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RICHMOND",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77406-6862",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3415 CARRIAGE HOUSE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RICHMOND",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77406-6862",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "910-381-2615",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/22/2026",
    "LastUpdateDate": "04/22/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "146L00000X",
        "TaxonomyName": "Paramedic",
        "LicenseNumber": "776854",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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