Individual
MR. SCOTT FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1106995
TX
225100000X
Physical Therapist
Primary
4175
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300522021
MEDICARE GROUP
OK
01
—
73-1601XXX
HEALTHCHOICE
OK
01
—
G3207
PREFERRED COMMUNITYCARE
OK
01
—
GROUP CONTRACT
THERAMATRIX
OK
Enumeration date
12/02/2005
Last updated
06/26/2013
Update your record
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