Individual
MR. FREDERICK MARIO ORITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1308 PALUXY RD STE 300, GRANBURY, TX 76048-5689
(817) 579-3978
(817) 579-3977
Mailing address
1308 PALUXY RD STE 300, GRANBURY, TX 76048-5689
(817) 579-3978
(817) 579-3977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02360
TX
Other
Enumeration date
09/06/2006
Last updated
09/14/2020
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