Provider Demographics
NPI:1558305151
Name:CARRINGTON, FREDERICK (MD)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:
Last Name:CARRINGTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 HARRIS PKWY
Mailing Address - Street 2:#245
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-4124
Mailing Address - Country:US
Mailing Address - Phone:817-346-5336
Mailing Address - Fax:817-346-5366
Practice Address - Street 1:6100 HARRIS PKWY
Practice Address - Street 2:#245
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4124
Practice Address - Country:US
Practice Address - Phone:817-346-5336
Practice Address - Fax:817-346-5366
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE0849207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160046051OtherMEDICARE RAILROAD
TX82951XOtherBC/BS
TX134229705Medicaid
TX4323814OtherAETNA HMO
TX83502NMedicare ID - Type Unspecified
TX160046051OtherMEDICARE RAILROAD