Organization
FRONTIER ACO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAC VU (PRESIDENT)
(832) 814-2172
Entity
Organization
Contact information
Practice address
8278 BELLAIRE BLVD, STE A, HOUSTON, TX 77036-4090
(713) 272-8858
Mailing address
8278 BELLAIRE BLVD, STE A, HOUSTON, TX 77036-4090
(713) 272-8858
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
J6791
TX
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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