Provider Demographics
NPI:1932204674
Name:FRIGINI, LUIZ ALEXANDRE (MD)
Entity Type:Individual
Prefix:
First Name:LUIZ
Middle Name:ALEXANDRE
Last Name:FRIGINI
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:PO BOX 3119
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77253-3119
Mailing Address - Country:US
Mailing Address - Phone:713-481-3533
Mailing Address - Fax:713-432-0221
Practice Address - Street 1:4600 E SAM HOUSTON PKWY S
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3948
Practice Address - Country:US
Practice Address - Phone:713-481-3533
Practice Address - Fax:713-432-0221
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM23242085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AM783OtherBCBS
TX184603203Medicaid
TX184603204Medicaid
TX184603202Medicaid
TX184603201Medicaid
TX184603201Medicaid
TXP00738052Medicare PIN
TX8J3101Medicare PIN
TX8K5564Medicare PIN
TX184603203Medicaid
TX8L3929Medicare PIN