Provider Demographics
NPI:1992219844
Name:KATHY A. FRAZAR DDS, PA
Entity Type:Organization
Organization Name:KATHY A. FRAZAR DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE/FINANCIAL COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-668-7137
Mailing Address - Street 1:4914 BISSONNET ST STE 200
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4048
Mailing Address - Country:US
Mailing Address - Phone:713-668-7137
Mailing Address - Fax:713-668-1708
Practice Address - Street 1:4914 BISSONNET ST STE 200
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4048
Practice Address - Country:US
Practice Address - Phone:713-668-7137
Practice Address - Fax:713-668-1708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental