Individual
DR. LARRY LYNN FRASE
Active
Individual
DR. LARRY LYNN FRASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
G5058
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135968901
—
TX
05
—
135968903
—
TX
01
—
135968906
CSHCN
TX
05
—
135968908
—
TX
05
—
135968909
—
TX
05
—
135968910
—
TX
01
—
8R1439
BLUE CROSS OF TEXAS
TX
Enumeration date
06/12/2006
Last updated
05/02/2008
Update your record
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