Tracy Wendy Fisher

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

TRACY WENDY FISHER

Practice address

11819 Granite Manor LN
Cypress, TX 77433-6463

Phone

(832) 288-0779

NPI assigned

Jan 11, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tracy Wendy Fisher

Title

Owner

Phone

(832) 859-1543

Specialties & licenses 1

Addresses

Other names 1

• Andrea's Home Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1922544121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11819 GRANITE MANOR LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11819 GRANITE MANOR LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336463",
            "telephone_number": "832-288-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY WENDY FISHER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-859-1543"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrea's Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hue Bich Thi Tran, OD
• Jonathan Hoang Tran, MD
• Karen Tran, NP
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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Cypress, TX
• Providers in Cypress, TX by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.