Casey Rene Frazier in Huntsville - Pediatric Dentistry
Casey Rene Frazier - NPI 1578561924
Casey Rene Frazier is a Pediatric Dentistry in Huntsville, Texas. Casey Rene Frazier practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Casey Rene Frazier is 1578561924. The last update date is 2007-07-08.
Casey Rene Frazier's current location address is 100 Medical Center Pkwy, Suite #700, Huntsville, Texas. You can contact this provider via phone number 9362910804 and fax number 9362910808. The mailing address for Casey Rene Frazier is 100 Medical Center Pkwy, Suite #700, Huntsville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Casey Rene Frazier |
|---|---|
| Address | 100 Medical Center Pkwy, Suite #700, Huntsville, Texas |
| Phone Number | 9362910804 |
| Fax Number | 9362910808 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1578561924 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 Medical Center Pkwy, Suite #700 |
|---|---|
| City | Huntsville |
| State | Texas (TX) |
| Post Code | 77340 |
| Phone Number | 9362910804 |
| Fax Number | 9362910808 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 17846 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the Casey Rene Frazier's unique identification number?
The Casey Rene Frazier has been assigned the NPI (National Provider Identifier) Number 1578561924 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Casey Rene Frazier is located?
The Casey Rene Frazier is situated at the following address: 100 Medical Center Pkwy, Suite #700, Huntsville, TX, 77340.
What is the area of specialization for Casey Rene Frazier, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Casey Rene Frazier is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date was the 1578561924 assigned to Casey Rene Frazier?
The Casey Rene Frazier was issued its 1578561924 on 2005-07-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Casey Rene Frazier most recently updated?
The details pertaining to the Casey Rene Frazier, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX