Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | D4123 | TX |
N | 208200000X | Surgeon | D4123 | TX |
N | 208600000X | Surgeon | D4123 | TX |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | D4123 | TX |
NPI | 1528156304 |
---|---|
Provider Name | Dr. Oscar Howard Frazier |
First Address | Houston, TX 77030-2607 |
Second Address | Houston, TX 77030-2607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 09/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
330002910 | RAILROAD MEDICARE (01) | TX |
D49614 | (02) | TX |