Individual
DR. SAUL W FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 817-7500
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0165
(409) 747-5727
(409) 747-5715
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
48804
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
48804
TX
Other
Enumeration date
05/08/2019
Last updated
08/26/2025
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