Provider Demographics
NPI:1609866276
Name:FISHER, KEITH A (MD)
Entity type:Individual
Prefix:
First Name:KEITH
Middle Name:A
Last Name:FISHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3223 S LOOP 289 STE 600
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-1372
Mailing Address - Country:US
Mailing Address - Phone:512-222-6419
Mailing Address - Fax:888-815-3583
Practice Address - Street 1:3223 S LOOP 289 STE 600
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-1372
Practice Address - Country:US
Practice Address - Phone:512-222-6419
Practice Address - Fax:888-815-3583
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2025-07-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM23212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry