Individual
MR. REGINALD AUGUSTUS FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST,CSA
Contact information
Practice address
CARL R. DARNALL ARMY MEDICAL CENTER, 36065 SANTA FE AVENUE, FORT HOOD, TX 76544-4752
(254) 618-7508
Mailing address
761ST TANK BN. AVE, BLDG.332, PO BOX 5865, FORT HOOD, TX 76544-0865
(254) 699-1434
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA0076
DC
Other
Enumeration date
05/09/2007
Last updated
01/08/2019
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