Whalio Doctors

NPI 1215907019

Charles Ray Fisher, MD

Practitioner Aerospace Medicine Physician Jbsa Lackland, TX

Practice location

Address
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone
(210) 671-4516
Mailing address
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638

Registered specialties (6)

Aerospace Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083A0100X Licence N5675 (TX)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence N5675 (TX)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 30120-020 (WI)
Aerospace Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2083A0100X Licence 30120-020 (WI)
Occupational Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence N5675 (TX)
Occupational Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 30120-020 (WI)

Registry record

NPI
1215907019
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Jan 2006
Record last updated
16 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.