John Joseph Fraser JR.
Pediatric Emergency Physician
11398 Bandera Rd Ste 201
San Antonio
, Texas 78250-6827
John Joseph Fraser JR.
Pediatric Emergency Physician
11398 Bandera Rd Ste 201
San Antonio
, Texas 78250-6827
(409) 772-0885
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About
Features
Specialties
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- John Joseph Fraser JR.
- 301 University Blvd Provider Enrollment-Rt. 1022
- Galveston, TX
- Zip : 77555-5302
- Fax : (409) 772-0885
- Phone : (409) 747-0890
Second Address
- John Joseph Fraser JR.
- 11398 Bandera Rd Ste 201
- San Antonio, TX
- Zip : 78250-6827
- Phone : (210) 543-7334
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | F3966 | TX |
National Provider Identifier
| NPI | 1316989353 |
|---|---|
| Provider Name | John Joseph Fraser JR. |
| First Address | Galveston, TX 77555-5302 |
| Second Address | San Antonio, TX 78250-6827 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/06/2006 |
| Last Update Date | 29/08/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 138402603 | (05) | TX |
| 138402613 | (05) | TX |
| 81Z135 | BLUE CROSS BLUE SHIELD OF TEXAS (01) | TX |
| C15733 | (02) | TX |
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.