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Individual
CHARLES D. FRASER JR.
Active
Individual
CHARLES D. FRASER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
G8840
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G8840
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133148001
—
TX
01
—
133148004
CSHCN
TX
Enumeration date
10/17/2006
Last updated
12/22/2023
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