Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 002566 | IA |
N | 152W00000X | Optometrist | 2008017082 | MO |
Y | 152W00000X | Optometrist | 7706TG | TX |
NPI | 1992961874 |
---|---|
Provider Name | Dr. Melanie J Frogozo |
First Address | San Antonio, TX 78232-1594 |
Second Address | San Antonio, TX 78232-1594 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2008 |
Last Update Date | 03/07/2014 |