Individual
MS. MARCELLA A FRAUSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12350 MONTWOOD DR, STE 300, EL PASO, TX 79928-5694
(915) 849-9733
Mailing address
12350 MONTWOOD DR, STE 300, EL PASO, TX 79928-5694
(915) 849-9733
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L1576
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L1576
LICENSE
TX
Enumeration date
01/04/2006
Last updated
02/06/2014
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