Individual
MICHAEL FRECKLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7909 FREDERICKSBURG RD, SUITE #127, SAN ANTONIO, TX 78229-3425
(210) 614-4544
Mailing address
15123 CHINQUAPIN, HELOTES, TX 78023
(210) 887-4321
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J7488
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104056003
—
TX
01
—
104056004
CIDC
TX
Enumeration date
08/24/2006
Last updated
05/06/2009
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