Individual
DR. MARK A FREDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 HERITAGE BLVD, MIDLAND, TX 79707
(817) 284-9850
(432) 704-2130
Mailing address
P O BOX 81045, MIDLAND, TX 79708-1045
(432) 704-1696
(432) 704-2130
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
H7056
TX
Other
Enumeration date
03/02/2006
Last updated
03/31/2025
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