Individual
DEREK A FRITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7900 FANNIN ST, SUITE 2300, HOUSTON, TX 77054-2900
(713) 790-1349
(713) 790-0028
Mailing address
7900 FANNIN ST, SUITE 2300, HOUSTON, TX 77054-2900
(713) 790-1349
(713) 790-0028
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
036388
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088589901
—
TX
01
—
80354C
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/11/2005
Last updated
05/06/2011
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