Provider Demographics
NPI:1194731109
Name:FISCHER, LINDA SPURLOCK (RNFNP)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:SPURLOCK
Last Name:FISCHER
Suffix:
Gender:F
Credentials:RNFNP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:FISCHER
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RNFNP
Mailing Address - Street 1:6401 PRECINCT LINE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-4815
Mailing Address - Country:US
Mailing Address - Phone:817-235-9118
Mailing Address - Fax:
Practice Address - Street 1:6401 PRECINCT LINE RD
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76182
Practice Address - Country:US
Practice Address - Phone:817-235-9118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX240180363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD07564OtherMEDICARE RR PALMETTO
TX207609301Medicaid
TX207609302Medicaid
TXDQ5280OtherMEDICARE RR PALMETTO
TXD07564OtherMEDICARE RR PALMETTO
TXTXB100885Medicare PIN
TX8K8814Medicare UPIN
TXTXB102277Medicare PIN
TX569839Medicare UPIN