Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RODERICK JOHN FISETTE, M.D.
Active Sole ProprietorDR. RODERICK JOHN FISETTE, M.D. is a General Practice healthcare provider located in BRIDGE CITY, Texas. NPI 1477948420 is currently active in the NPPES registry. Verify at CMS.
General Practice · BRIDGE CITY, TX
Registration Details
- NPI Number
- 1477948420
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2015 (11.390654479132 yrs)
- Last Updated
- Apr 6, 2015
- License
-
D6746 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1200 TURNER DRBRIDGE CITY, TX, 776112612Browse TX providers · Browse ZIP 77611
- Phone
- 4092211500
- Primary Specialty
-
General Practice
208D00000X
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.