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Individual

DR. ALLAN HIRSCH FRADKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2302 AVENUE P, GALVESTON, TX 77550-7932
(409) 765-6324
(409) 765-8475
Mailing address
7155 OLD KATY RD, N100, HOUSTON, TX 77024-2134
(713) 668-6828
(832) 280-3636

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D4121
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120557703
TX
01
180022436
RR MEDICARE
TX
Enumeration date
07/08/2005
Last updated
01/28/2013
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