Provider Demographics
NPI:1942201470
Name:FICHTEL, FRANK MANUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:MANUEL
Last Name:FICHTEL
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 1:5282 MEDICAL DR STE 600
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-6114
Mailing Address - Country:US
Mailing Address - Phone:210-375-3399
Mailing Address - Fax:
Practice Address - Street 1:5282 MEDICAL DR STE 600
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-6114
Practice Address - Country:US
Practice Address - Phone:210-375-3399
Practice Address - Fax:210-519-3192
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6429207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX038589002Medicaid
TX8F2753Medicare PIN
TXG90770Medicare UPIN