Individual provider · Type 1 NPI
Roderick John Fisette, MD
General Practice Physician · Bridge City, TX
NPI number
1477948420
Active
Practice location
1200 Turner Dr
Bridge City, TX 77611-2612
Mailing address
PO Box 296
Bridge City, TX 77611-0296
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | D6746 (TX) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1477948420
Roderick John Fisette, MD's National Provider Identifier is 1477948420, issued on Apr 6, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Bridge City, TX. The record was last updated on Apr 6, 2015.