Provider Demographics
NPI:1467484691
Name:FRATILA, ANTONIO BOGDAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:BOGDAN
Last Name:FRATILA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:15126 CANE HARBOR BLVD
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-7601
Mailing Address - Country:US
Mailing Address - Phone:361-442-5588
Mailing Address - Fax:888-858-1409
Practice Address - Street 1:15126 CANE HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-7601
Practice Address - Country:US
Practice Address - Phone:361-442-5588
Practice Address - Fax:888-858-1409
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM1097207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology