Individual
DR. ANDREW PAUL FREESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2419 W SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092
(817) 809-2660
Mailing address
2419 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-1505
(817) 809-2660
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
R6780
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
R6780
TX
390200000X
Student in an Organized Health Care Education/Training Program
11016735
IN
390200000X
Student in an Organized Health Care Education/Training Program
R-10796
IA
Other
Enumeration date
06/26/2012
Last updated
12/20/2018
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