Frostenson, Phyllis J
Frostenson, Phyllis J is an individual health care provider with primary practice located at 3100 Matlock Rd Ste 105 , Arlington TX 76015-2900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Frostenson, Phyllis J can be contacted via phone (817) 543-2412.Contact Information
Primary practice address
3100 Matlock Rd Ste 105
Arlington TX 76015-2900
Phone: (817) 543-2412
Fax: (817) 543-2663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G6169 | Texas |
Profile Details
| NPI number | 1679761787 |
|---|---|
| LBN Legal business name | Frostenson, Phyllis J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2007 |
| Last updated | Mar 11th, 2022 - 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 | 1679761787 | NPPES |
| Texas | MEDICAID | 126871606 |
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