Organization Name: | PATRICIA A. FREY, M.D., P.A. |
NPI Number: | 1013245133 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICIA A FREY (PRESIDENT) |
Mailing Address: | 4201 Garth Rd Suite 290 Baytown |
State: | TX US |
Postal Code: | 775213167 |
Phone Number: | 2814225535 |
Fax Number: | 2814224801 |
NPI Enumeration Date: | 12/01/2009 |
NPI Last Update Date: | 10/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | K2904 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |