Provider Demographics
NPI:1558338848
Name:FISHER, SYBIL J (DPM)
Entity Type:Individual
Prefix:DR
First Name:SYBIL
Middle Name:J
Last Name:FISHER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 KATY FWY STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-2261
Mailing Address - Country:US
Mailing Address - Phone:832-673-0500
Mailing Address - Fax:832-673-0060
Practice Address - Street 1:5151 KATY FWY STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-2261
Practice Address - Country:US
Practice Address - Phone:832-673-0500
Practice Address - Fax:832-673-0060
Is Sole Proprietor?:No
Enumeration Date:2006-03-05
Last Update Date:2018-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1609213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX155958502Medicaid
TX8C2005Medicare PIN
TX5393380001Medicare NSC
TXU92182Medicare UPIN