Provider Demographics
NPI:1528006079
Name:FRANK M. FICHTEL, M,D., P.A.
Entity Type:Organization
Organization Name:FRANK M. FICHTEL, M,D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLY
Authorized Official - Middle Name:
Authorized Official - Last Name:FICHTEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-744-8842
Mailing Address - Street 1:5282 MEDICAL DR STE 600
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-6114
Mailing Address - Country:US
Mailing Address - Phone:210-375-3399
Mailing Address - Fax:210-519-3192
Practice Address - Street 1:5282 MEDICAL DR STE 600
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-6114
Practice Address - Country:US
Practice Address - Phone:210-375-3399
Practice Address - Fax:210-519-3192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6429207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183358401Medicaid
TX00W384Medicare PIN