| Doctor Name: | MANUEL J FRAUSTO |
| NPI Number: | 1790832129 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | E7401 |
| Business Practice Address: | 1117 W De La Rosa St Del Rio, TX - 788406224 |
| Business Phone Number: | 8307684800 |
| Business Fax Number: | 8307684844 |
| Mailing Address: | 330 Inspiration Way, DEL RIO |
| State: | TX |
| Postal Code: | 788402519 |
| Phone Number: | 8307752049 |
| Fax Number: | 8307757325 |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | E7401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |