Organization
FRONTERA PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CESAR H. FAZ M.D. (PRESIDENT)
(830) 778-5439
Entity
Organization
Contact information
Practice address
109 W MARTIN ST, DEL RIO, TX 78840-5501
(830) 778-5439
(830) 778-5400
Mailing address
109 W MARTIN ST, DEL RIO, TX 78840-5501
(830) 778-5439
(830) 778-5400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166733901
—
TX
05
—
166733902
—
TX
01
—
8P6044
BCBS
TX
Enumeration date
02/06/2007
Last updated
03/05/2009
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