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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104906452 NPPES
Texas Other 133148004 CSHCN
Texas MEDICAID 133148001 CSHCN

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