Individual
DAVID FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
919 E 32ND ST, AUSTIN, TX 78705-2703
(512) 447-2211
Mailing address
7000 N MO PAC EXPY STE 420, AUSTIN, TX 78731-3055
(512) 482-0045
(512) 476-9892
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
074006
GA
207R00000X
Internal Medicine Physician
5101019942
MI
207R00000X
Internal Medicine Physician
Primary
R1963
TX
Other
Enumeration date
06/18/2012
Last updated
01/29/2018
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