Individual
FREDERICK JOHN KASSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 E ARIZONA AVE, SWEETWATER, TX 79556-7119
(325) 235-8641
(325) 235-5925
Mailing address
201 E ARIZONA AVE, SWEETWATER, TX 79556-7119
(325) 235-8641
(325) 235-5925
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H5110
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1319832-01
—
TX
Enumeration date
05/24/2006
Last updated
08/27/2008
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