Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 28468 | AL |
N | 208600000X | Surgeon | 28468 | AL |
N | 2086S0102X | Surgical Critical Care | 28468 | AL |
Y | 2086S0102X | Surgical Critical Care | P2645 | TX |
NPI | 1346460169 |
---|---|
Provider Name | Mohammad Amin Frotan |
First Address | Dallas, TX 75231-4481 |
Second Address | Dallas, TX 75231-4481 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 13/02/2020 |