Individual
EDGGAR EMMANUEL FRAUSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 617-5311
(210) 949-3060
Mailing address
2010 E 28TH ST, MISSION, TX 78574-2002
(956) 735-8485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q4108
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/28/2012
Last updated
05/29/2015
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