Provider Demographics
NPI:1942790423
Name:PROPER BUSINESS MANAGEMENT GROUP, PLLC
Entity Type:Organization
Organization Name:PROPER BUSINESS MANAGEMENT GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/MANAGER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:FRECKLETON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-887-4321
Mailing Address - Street 1:15123 CHINQUAPIN
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-5141
Mailing Address - Country:US
Mailing Address - Phone:210-887-4321
Mailing Address - Fax:210-695-8552
Practice Address - Street 1:7909 FREDERICKSBURG RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3425
Practice Address - Country:US
Practice Address - Phone:210-614-4544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-10
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty