Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Charles Ray Fisher Jr., MD

Individual provider Family Medicine Physician · NPI 1215907019

Dr. Charles Ray Fisher Jr., MD is a Family Medicine Physician in Jbsa Lackland, Texas. Practices as a sole proprietor and works from 3 locations. Licensed in Texas and Wisconsin.

Licensed in
TX, WI
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236
Phone: (210) 671-4516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2376 Bulverde Rd Ste 112, Bulverde, TX 78163-4593 — (830) 386-4236
  • 1 Lone Star Pass, San Antonio, TX 78264-3638 — (210) 263-4320

Specialties & licences

Aerospace Medicine Physician (primary) Taxonomy 2083A0100X · Licence N5675 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence N5675 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence 30120-020 (WI)
Aerospace Medicine Physician Taxonomy 2083A0100X · Licence 30120-020 (WI)
Occupational Medicine Physician Taxonomy 2083X0100X · Licence N5675 (TX)
Occupational Medicine Physician Taxonomy 2083X0100X · Licence 30120-020 (WI)

Record details

NPI number1215907019
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 24, 2006
Last updated in NPPESOctober 16, 2019

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