Individual
TODD TRASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6560 FANNIN ST, SCURLOCK TOWER, SUITE 900, HOUSTON, TX 77030-2761
(713) 441-3800
(713) 793-1015
Mailing address
6560 FANNIN ST, SCURLOCK TOWER, SUITE 900, HOUSTON, TX 77030-2761
(713) 441-3800
(713) 793-1015
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
K0221
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123909705
—
TX
05
—
123909706
—
TX
05
—
123909707
—
TX
01
—
8EB170
BLUE CROSS BLUE SHIELD
TX
01
—
8R9785
BLUE CROSS BLUE SHIELD
TX
01
—
P00214530
RAILROAD MEDICARE
TX
01
—
P01331485
RR MEDICARE
TX
Enumeration date
07/18/2006
Last updated
11/20/2017
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