Dr. Aileen Fisher, MD
in Grand Prairie, TX. Individual provider (NPI-1).
NPI number1881783876
StatusActive
Last updated in NPPESOct 4, 2021
Details
- NPI
- 1881783876
- Entity type
- Individual (NPI-1)
- Name
- Dr. Aileen Fisher
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 11, 2006
- Certification date
- Oct 4, 2021
- Last updated
- Oct 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0805X | K8151 | TX | Yes | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | K8151 | TX |
Practice location
3120 N Camino LagosGrand Prairie, TX 75054-6790
Phone 817-307-5257
Mailing address
3540 E Broad St Ste 120-374Mansfield, TX 76063-5633
Phone 817-307-5257 · Fax 833-608-1543
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