Provider Demographics
NPI:1407043383
Name:FREWAN, NAIMA O (MD)
Entity Type:Individual
Prefix:
First Name:NAIMA
Middle Name:O
Last Name:FREWAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 N OREGON ST STE 601
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3352
Mailing Address - Country:US
Mailing Address - Phone:915-533-8867
Mailing Address - Fax:
Practice Address - Street 1:7500 VISCOUNT BLVD
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-5638
Practice Address - Country:US
Practice Address - Phone:915-772-4066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP77652080N0001X
TXP777652080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine