Fraser, Charles D.
Fraser, Charles D. is an individual health care provider with primary practice located at 4900 Mueller Blvd , Austin TX 78723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Fraser, Charles D. can be contacted via phone (855) 324-0091.Contact Information
Primary practice address
4900 Mueller Blvd
Austin TX 78723
Phone: (855) 324-0091
Fax: (512) 380-7532
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | G8840 | Texas |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | G8840 | Texas |
Profile Details
NPI number | 1104906452 |
---|---|
LBN Legal business name | Fraser, Charles D. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 17th, 2006 |
Last updated | Dec 22nd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104906452 | NPPES |
Texas | Other | 133148004 | CSHCN |
Texas | MEDICAID | 133148001 | CSHCN |
Popular Providers
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Gaudet, Matthew A
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Mendoza Crespo, Sara E
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