Provider Demographics
NPI:1902834989
Name:FISHER, NEAL LEON (MD)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:LEON
Last Name:FISHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7232 GLENDORA AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-5430
Mailing Address - Country:US
Mailing Address - Phone:214-369-3030
Mailing Address - Fax:214-987-0897
Practice Address - Street 1:10455 N CENTRAL EXPY
Practice Address - Street 2:109-339
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-2213
Practice Address - Country:US
Practice Address - Phone:214-369-3030
Practice Address - Fax:214-987-0897
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH2375207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB95622Medicare UPIN