Individual
KEVIN D FRADKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11221 KATY FWY STE 201, HOUSTON, TX 77079-2105
(800) 991-6117
Mailing address
3820 NORTHDALE BLVD STE 201, TAMPA, FL 33624-1893
(800) 991-6117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M4071
TX
202K00000X
Phlebology Physician
M4071
TX
208600000X
Surgery Physician
12654
NV
208600000X
Surgery Physician
44107
CO
208600000X
Surgery Physician
Primary
M4071
TX
208600000X
Surgery Physician
ME178121
FL
Other
Enumeration date
09/22/2006
Last updated
01/09/2026
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