Individual provider · Type 1 NPI

Dane Michael Fishburn

General Practice Physician · Jbsa Fort Sam Houston, TX

NPI number 1508616616 Active

Practice location

3551 Roger Brooke Dr
Jbsa Fort Sam Houston, TX 78234-4504

Call (210) 916-0808 Map

Fax (210) 916-6654

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X0101287414 (VA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

2,432 other providers at this address

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About NPI 1508616616

Dane Michael Fishburn's National Provider Identifier is 1508616616, issued on Mar 25, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Jbsa Fort Sam Houston, TX. The record was last updated on Sep 12, 2025.