Organization
FRADKIN SURGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN DOUGLAS FRADKIN MD (MANAGING MEMEBER)
(817) 835-8035
Entity
Organization
Contact information
Practice address
2140 E SOUTHLAKE BLVD STE L-229, SOUTHLAKE, TX 76092-6516
(817) 835-8035
(702) 989-8444
Mailing address
2140 E SOUTHLAKE BLVD STE L-229, SOUTHLAKE, TX 76092-6516
(817) 835-8035
(702) 989-8444
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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