Individual
DR. KELLY ALAINE FREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-2666
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
BP10023842
TX
207L00000X
Anesthesiology Physician
Primary
N5058
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212607001
—
TX
05
—
212607005
—
TX
01
—
8CH408
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/01/2008
Last updated
08/26/2022
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