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NPI Code Detail

MEDICARE: JASON S. FISH MD, MSHS

MEDICARE:   JASON S. FISH  MD, MSHS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianA90442CA
2207R00000XInternal Medicine PhysicianP0382TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225180680
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON S. FISH MD, MSHS
Provider Business Mailing Address
First Line : UT SOUTHWESTERN MEDICAL CTR
Second Line : 5303 HARRY HINES BLVD
City : DALLAS
State : TX
Zip : 75390-9124
Country : US
Telephone Number : 214-645-8620
Fax Number :
Provider Business Practice Location Address
First Line : UT SOUTHWESTERN MEDICAL CTR
Second Line : 5323 HARRY HINES BLVD
City : DALLAS
State : TX
Zip : 75390-9126
Country : US
Telephone Number : 214-648-2383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 04/26/2012

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Directions to “ JASON S. FISH MD, MSHS” Practice Location

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