# FREDERICK B NIEGOS MDPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023393790
- **Authorized official:** DR. FREDERICK B. NIEGOS M.D. (OWNER)
- **Authorized official phone:** (361) 574-1870

## Contact information

- **Practice address:** 2700 CITIZENS PLAZA, SUITE 206, VICTORIA, TX 77901
- **Practice address phone:** (361) 574-1870
- **Practice address fax:** (361) 574-1871
- **Mailing address:** 2700 CITIZENS PLAZA, SUITE 206, VICTORIA, TX 77901
- **Mailing address phone:** (361) 574-1870
- **Mailing address fax:** (361) 574-1871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 053344 | GA | Yes |

## Other

- **Enumeration date:** 10/13/2011
- **Last updated:** 03/19/2012
