Individual
CLIFFORD JACK FRAIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 W 38TH ST STE 308, AUSTIN, TX 78731-6406
(512) 324-3580
(512) 324-3581
Mailing address
1400 N IH 35 STE 300, AUSTIN, TX 78701-1926
(512) 324-8300
(512) 324-8301
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
E4337
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1317026-08
—
TX
05
—
131702609
—
TX
05
—
131702610
—
TX
01
—
8CX265
BCBS
TX
Enumeration date
08/19/2006
Last updated
12/14/2012
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