Provider Demographics
NPI:1578730347
Name:FRAGOSO, VERONICA GARCIA (MD)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:GARCIA
Last Name:FRAGOSO
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 1:1315 ST JOSEPH PKWY
Mailing Address - Street 2:STE. 1309
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8233
Mailing Address - Country:US
Mailing Address - Phone:832-366-1305
Mailing Address - Fax:832-366-1287
Practice Address - Street 1:1315 ST JOSEPH PKWY
Practice Address - Street 2:STE. 1309
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8233
Practice Address - Country:US
Practice Address - Phone:832-366-1305
Practice Address - Fax:832-366-1287
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9286207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine