Individual
DR. FRED M MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7922 EWING HALSELL DR, SUITE #220, SAN ANTONIO, TX 78229-3786
(210) 614-9548
(210) 616-0275
Mailing address
7922 EWING HALSELL DR, SUITE #220, SAN ANTONIO, TX 78229-3786
(210) 614-9548
(210) 616-0275
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
F3549
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5684625
AETNA
TX
01
—
83Z205
BLUECROSS/BLUESHIELD TX.
TX
Enumeration date
07/31/2006
Last updated
07/08/2007
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