Provider Demographics
NPI:1609978295
Name:FRAZIER, HERMAN JR (BS)
Entity Type:Individual
Prefix:
First Name:HERMAN
Middle Name:
Last Name:FRAZIER
Suffix:JR
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 WILD PEACH PL
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5729
Mailing Address - Country:US
Mailing Address - Phone:281-403-1131
Mailing Address - Fax:
Practice Address - Street 1:511 WILD PEACH PL
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5729
Practice Address - Country:US
Practice Address - Phone:281-403-1131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor