Provider Demographics
NPI:1609879154
Name:FRISCHER, ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:FRISCHER
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:PO BOX 3545
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-0545
Mailing Address - Country:US
Mailing Address - Phone:940-691-4631
Mailing Address - Fax:940-691-0696
Practice Address - Street 1:212 VALLEY VIEW RD
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76306-4117
Practice Address - Country:US
Practice Address - Phone:940-691-4631
Practice Address - Fax:940-691-0696
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6232207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092080303Medicaid
TX0008KQOtherBCBS
TX092080303Medicaid
TX8B2670Medicare ID - Type Unspecified