Charles D. Fraser
Pediatric Surgery Cardiothoracic Vascular Surgeon
4900 Mueller Blvd
Austin
, Texas 78723
Charles D. Fraser
Pediatric Surgery Cardiothoracic Vascular Surgeon
4900 Mueller Blvd
Austin
, Texas 78723
(832) 825-1904
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About
Features
Specialties
- Pediatric Surgery
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Charles D. Fraser
- 6621 Fannin St
- Houston, TX
- Zip : 77030-2303
- Fax : (832) 825-1904
- Phone : (832) 826-5731
Second Address
- Charles D. Fraser
- 4900 Mueller Blvd
- Austin, TX
- Zip : 78723
- Fax : (512) 380-7532
- Phone : (855) 324-0091
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0120X | Pediatric Surgery | G8840 | TX |
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | G8840 | TX |
National Provider Identifier
| NPI | 1104906452 |
|---|---|
| Provider Name | Charles D. Fraser |
| First Address | Houston, TX 77030-2303 |
| Second Address | Austin, TX 78723 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2006 |
| Last Update Date | 01/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 133148001 | (05) | TX |
| 133148004 | CSHCN (01) | TX |
| F60592 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.