Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dane Michael Fishburn

Individual provider General Practice Physician · NPI 1508616616

Dane Michael Fishburn is a General Practice Physician in Jbsa Ft Sam Houston, Texas. Licensed in Virginia. Registered with an NPI since 2024.

Licensed in
VA
In the registry since
2024

Practice location Address checks out

3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone: (210) 916-0808
Fax: (210) 916-6654
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 0101287414 (VA)

Record details

NPI number1508616616
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 25, 2024
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504

Other providers in Jbsa Ft Sam Houston