Provider Demographics
NPI:1689931313
Name:FRONTZ, REBECCA LEAH (DO)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:LEAH
Last Name:FRONTZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9727 SPRING GREEN BLVD
Mailing Address - Street 2:SUITE 900
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4138
Mailing Address - Country:US
Mailing Address - Phone:281-789-6300
Mailing Address - Fax:
Practice Address - Street 1:9727 SPRING GREEN BLVD
Practice Address - Street 2:SUITE 900
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4138
Practice Address - Country:US
Practice Address - Phone:281-789-6300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-19
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ5802208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics