Provider Demographics
NPI:1710905393
Name:TRASK, TODD (MD)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:
Last Name:TRASK
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 1:6560 FANNIN ST
Mailing Address - Street 2:SCURLOCK TOWER, SUITE 900
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2761
Mailing Address - Country:US
Mailing Address - Phone:713-441-3800
Mailing Address - Fax:713-793-1015
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SCURLOCK TOWER, SUITE 900
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-441-3800
Practice Address - Fax:713-793-1015
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0221207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00214530OtherRAILROAD MEDICARE
TX8EB170OtherBLUE CROSS BLUE SHIELD
TX123909706Medicaid
TXP01331485OtherRR MEDICARE
TX123909707Medicaid
TX8R9785OtherBLUE CROSS BLUE SHIELD
TX123909705Medicaid
TXP00214530OtherRAILROAD MEDICARE
TX123909706Medicaid
TXP01331485OtherRR MEDICARE
TX8G6278Medicare PIN