Tracy Wendy Fisher

NPI #1922544121 in Cypress, Texas

Provider Information

NPI Number: 1922544121
Entity Type: Organization
Organization Name: Tracy Wendy Fisher
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 11, 2017
Last Updated: Mar 2, 2023

Practice Location

Address: 11819 GRANITE MANOR LN
City: Cypress
State: Texas
ZIP Code: 77433-6463
Phone: (832) 288-0779

Authorized Official

Name: TRACY WENDY FISHER
Title: OWNER
Phone: (832) 859-1543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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