Provider Demographics
NPI:1821489667
Name:FISHER, ANNA LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:LEE
Last Name:FISHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1912 ELMEN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-6144
Mailing Address - Country:US
Mailing Address - Phone:281-948-8629
Mailing Address - Fax:
Practice Address - Street 1:1601 NASA PKWY
Practice Address - Street 2:MAILCODE CB
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3145
Practice Address - Country:US
Practice Address - Phone:713-775-8394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-16
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF5423208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice