Jeffrey  D  Fisher    DC
Contract Details
Facility name
Provider ID
P000004011
NPI
1205906070
Tax ID
752963356
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
320 Palo Pinto St
Weatherford, TX 76086
United States
County
Parker
Phone
8175941505 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address