Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | N0563 | TX |
N | 207VG0400X | Gynecologist | N0563 | TX |
NPI | 1972770105 |
---|---|
Provider Name | Hilaire Wood Fisher |
First Address | Houston, TX 77054-2935 |
Second Address | Houston, TX 77054-2935 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2008 |
Last Update Date | 26/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8J0897 | BLUE CROSS BLUE SHIELD OF TEXAS (01) | TX |