Kelly J Frasier M.D., P.A.

LBN: Kelly J Frasier M.D., P.A.
Kelly J Frasier M.D., P.A. is an health care organization with primary practice located at 3804 21St St Suite A, Lubbock TX 79410-1012. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Kelly J Frasier M.D., P.A. can be contacted via phone (806) 687-2635, or through Frasier, Kelly James via phone (806) 687-2635.

Contact Information

Primary practice address
3804 21St St Suite A Lubbock TX 79410-1012
Phone: (806) 687-2635
Fax: (806) 687-2637
Website:
Map and Directions
Authorized official contact:
Name: Frasier, Kelly James Doctor of Medicine (MD)
Phone: (806) 687-2635

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M2952 Texas

Profile Details

NPI number 1578588273
LBN Legal business name Kelly J Frasier M.D., P.A.
DBA Doing business as
Authorized official Frasier, Kelly James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Dec 13th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578588273 NPPES
Texas Other 0056NS BLUE CROSS BLUE SHIELD

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