Individual
MR. FREDDIE L CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G3244
TX
207T00000X
Neurological Surgery Physician
R3788
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100118890A
—
OK
01
—
104317602
INDIGENT HEALTH CARE
—
05
—
104317602
—
TX
01
—
113561001
MEDICAID
AR
05
—
113561001
—
AR
01
—
140001430
RAILROAD MEDICARE
TX
01
—
179117500
US DEPT OF LABOR
TX
01
—
18382000000
QUALCHOICE OF ARK
AR
01
—
1871793307
CIGNA DME#
TX
01
—
5575000001
CIGNA GOVERNMENT SERVICES
TX
01
—
751716332
UNITED HEALTH CARE
—
01
—
84E967
BLUE CROSS
TX
01
—
90017
BLUE CROSS
AR
01
—
90017
COLLUM & CARNEY CLINIC
TX
01
—
90017
FIRST PYRAMID LIFE
—
01
—
MDG3244
WORKERS' COMPENSATION
TX
Enumeration date
07/29/2005
Last updated
11/18/2009
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