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

Michael Blaine Zelisko, MD

Individual provider Pediatric Anesthesiology Physician · NPI 1447572318

Michael Blaine Zelisko, MD is a Pediatric Anesthesiology Physician in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2010
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

801 7th Ave
Fort Worth, TX 76104-2733
Phone: (682) 885-4054
Fax: (682) 885-7497
Show map & directions

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

Specialties & licences

Pediatric Anesthesiology Physician (primary) Taxonomy 207LP3000X · Licence N2895 (TX)

Record details

NPI number1447572318
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 19, 2010
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024

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