Individual
DR. ANDREW S FREDERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5201 HARRY HINES BLVD, GRADUATE MEDICAL EDUCATION, DALLAS, TX 75235-7708
(214) 590-8058
Mailing address
221 WEST COLORADO BLVD, PAVILION 2, SUITE 525, DALLAS, TX 75208
(469) 379-2915
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
Q7370
TX
207P00000X
Emergency Medicine Physician
Q7370
TX
Other
Enumeration date
04/29/2014
Last updated
01/29/2020
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