Individual
JUSTIN FRICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 567-6135
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 567-6135
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
S1094
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398983201
—
TX
Enumeration date
04/15/2014
Last updated
08/02/2019
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