Provider Demographics
NPI:1013245133
Name:PATRICIA A. FREY, M.D., P.A.
Entity Type:Organization
Organization Name:PATRICIA A. FREY, M.D., P.A.
Other - Org Name:GRACE WOMEN'S CENTER PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FREY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-422-5535
Mailing Address - Street 1:6711 SJOLANDER RD
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-9369
Mailing Address - Country:US
Mailing Address - Phone:281-422-5535
Mailing Address - Fax:281-422-4801
Practice Address - Street 1:6711 SJOLANDER RD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-9369
Practice Address - Country:US
Practice Address - Phone:281-422-5535
Practice Address - Fax:281-422-4801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-01
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2904207V00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A6089Medicare PIN