Individual
FREDRICK LONALD FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12050 VANCE JACKSON RD, # 201, SAN ANTONIO, TX 78230-1182
(210) 699-8881
(210) 699-0503
Mailing address
12050 VANCE JACKSON RD, BLDG.2 STE.201, SAN ANTONIO, TX 78230-1182
(210) 699-8881
(210) 699-0503
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L0180
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450439-02
—
TX
Enumeration date
07/14/2006
Last updated
09/03/2025
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