Individual provider · Type 1 NPI

Brian Fisher, LAT, ATC

Student in an Organized Health Care Education/Training Program · Grand Prairie, TX

NPI number 1679091656 Active

Practice location

3509 Vista Circle
Grand Prairie, TX 75052

Call (972) 623-8203 Map

Mailing address

3509 Vista Cir
Grand Prairie, TX 75052-7861

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679091656

Brian Fisher, LAT, ATC's National Provider Identifier is 1679091656, issued on Aug 30, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Prairie, TX. The record was last updated on Jul 21, 2022.