Provider Demographics
NPI:1134284227
Name:FRAZIER, LUELLA REECE
Entity type:Individual
Prefix:MRS
First Name:LUELLA
Middle Name:REECE
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LUELLA
Other - Middle Name:R
Other - Last Name:FRAZIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED
Mailing Address - Street 1:14734 EARLSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5637
Mailing Address - Country:US
Mailing Address - Phone:281-498-4060
Mailing Address - Fax:
Practice Address - Street 1:14734 EARLSWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5637
Practice Address - Country:US
Practice Address - Phone:281-498-4060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4441171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor