Provider Demographics
NPI:1609361419
Name:TEXAS SURGERY SPECIALIST, PLLC
Entity Type:Organization
Organization Name:TEXAS SURGERY SPECIALIST, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAYTON
Authorized Official - Middle Name:
Authorized Official - Last Name:FRENZEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:817-342-0232
Mailing Address - Street 1:1000 N DAVIS DR STE C
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-3202
Mailing Address - Country:US
Mailing Address - Phone:817-342-0232
Mailing Address - Fax:817-617-2219
Practice Address - Street 1:1000 N DAVIS DR STE E
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-3202
Practice Address - Country:US
Practice Address - Phone:817-342-0232
Practice Address - Fax:817-617-2219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-25
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3650208600000X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty