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General NPI Number Information
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NPI Number | 1760640932
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Entity Type | Organization
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Legal Business Name | BOBBY L. FISHER CHIROPRACTIC, P.A.
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Dates
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Enumeration Date | 05/23/2008
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 6021 MORRISS RD STE 104
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City | FLOWER MOUND
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State | TX
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Zip | 75028-3762
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Country | US
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Telephone | 214-957-7173
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Fax |
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Provider Business Mailing Address
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Address Line | 5383 SOUTHERN BLVD APT 435
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City | DALLAS
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State | TX
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Zip | 75240-7300
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. BOBBY LEE FISHER
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Credential | D.C.
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Telephone | 214-957-7173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 10102
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License Number State | TX
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