Holly Louise Fisk PA

NPI 1083899710 - Physician Assistant - 363A00000X

NPI Details
NPI 1083899710
Gender Female
Enumeration Date 12/31/2007
Last Updated 03/10/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
3502 9TH STREET
STE. 210
LUBBOCK TX, 79415, US
Phone (806) 762-8461
Fax
Business Location
5219 CITY BANK PARKWAY
STE. 135
LUBBOCK TX, 79407, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA05612
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According to our database, Holly Louise Fisk PA NPI is 1083899710, taxonomy code is 363A00000X and license number is PA05612, license state is located at Texas. Holly Louise Fisk PA physically located at 3502 9th Street, Lubbock TX, 79415. NPI Number Holly Louise Fisk PA has the Individual type.

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1083899710 NPI number is provided on an as is basis without warranty of any kind. 1083899710 is maintained by the National Plan & Provider Enumeration System. The contents of Holly Louise Fisk PA are for informational purposes only.