Provider Demographics
NPI:1326115676
Name:DONALD C. FRAME, MD, PA
Entity Type:Organization
Organization Name:DONALD C. FRAME, MD, PA
Other - Org Name:MISSION VEIN AND LASER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:C
Authorized Official - Last Name:FRAME
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-416-7443
Mailing Address - Street 1:910 SE MILITARY DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78214-2825
Mailing Address - Country:US
Mailing Address - Phone:210-922-8346
Mailing Address - Fax:210-922-8350
Practice Address - Street 1:910 SE MILITARY DR
Practice Address - Street 2:SUITE 120
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78214-2825
Practice Address - Country:US
Practice Address - Phone:210-922-8346
Practice Address - Fax:210-922-8350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1043202K00000X, 207PE0004X, 207R00000X
TXL1043T2083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Multi-Specialty
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0046LTOtherBCBS
TX175389901Medicaid
TX0046LTOtherBCBS
TX0046LTOtherBCBS
TX175389901Medicaid