Individual
PHYLLIS J FROSTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 MATLOCK RD STE 105, ARLINGTON, TX 76015-2900
(817) 543-2412
(817) 543-2663
Mailing address
PO BOX 152409, ARLINGTON, TX 76015-8409
(817) 543-2412
(817) 543-2663
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G6169
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126871606
—
TX
Enumeration date
10/15/2007
Last updated
03/11/2022
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