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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES RAY FISHER JR., M.D.

Active Sole Proprietor

DR. CHARLES RAY FISHER JR., M.D. is a 2083A0100X healthcare provider located in JBSA LACKLAND, Texas. NPI 1215907019 is currently active in the NPPES registry. Verify at CMS.

2083A0100X · JBSA LACKLAND, TX

Registration Details

NPI Number
1215907019
Provider Type
Individual
Gender
Male
NPI Issued
Jan 24, 2006 (20.511903643704 yrs)
Last Updated
Oct 16, 2019
Licenses
N5675 (TX)
30120-020 (WI)
30120-020 (WI)
N5675 (TX)
30120-020 (WI)
Sole Proprietor
Yes

Practice Information

Address
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX, 78236
Browse TX providers · Browse ZIP 78236
Phone
2106714516
Primary Specialty
2083A0100X
2083A0100X
Additional Specialty
Family Medicine
Additional Specialty
2083A0100X
Additional Specialty
Occupational Medicine
Additional Specialty
Occupational Medicine

Other 2083A0100X Providers in JBSA LACKLAND, TX

Name Credential NPI
DR. GARRY SCOTT MOORE MD 1427039510
DR. KIMBERLY BRADLEY D.O. 1841275153
DR. GERALD W. SABOE D.O., M.P.H. 1083716062
DR. MICHAEL EARL FREY M.D. 1710034582
MICHAEL MADRID M.D. 1851513444
TERESA LYNN MICOTTO M.D. 1932580388
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.