MRS. CASEY RENE FRAZIER (NPI# 1578561924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578561924 |
Entity Type | Individual |
Full Name | MRS. CASEY RENE FRAZIER |
Credential | DDS |
Practice Address |
100 Medical Center Pkwy, Suite #700 Huntsville TX 77340 |
Practice Telephone | 9362910804 |
Practice Fax Number | 9362910808 |
Mailing Telephone | 9362910804 |
Mailing Fax Number | 9362910808 |
Enumeration Date | 2005-07-11 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
17846 | TX | Dental Providers |
Street Address |
100 MEDICAL CENTER PKWY, SUITE #700 |
City | HUNTSVILLE |
State | TX |
Zip Code | 77340 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
1396362331 | Elizabeth Alexander | Registered Nurse | 1451 River Oaks Dr., Huntsville, TX 77340 | 2020-06-25 |
1598399107 | Haley Lord | Specialist/Technologist | 1804 Bobby K Marks Dr, Huntsville, TX 77340 | 2020-02-24 |
1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
1861962136 | Samantha Joleen Bioseh | Nurse Practitioner | 179 I-45, Suite 300, Huntsville, TX 77340 | 2018-11-29 |
1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
1285146282 | Brandi Elizabeth Bonin | Dietitian, Registered | 1217 Avenue M Ste 113, Huntsville, TX 77340 | 2017-10-30 |
1558889030 | Mext, LLC | Audiologist-Hearing Aid Fitter | 179 Ih 45 S Ste 400, Huntsville, TX 77340 | 2017-09-05 |
1720518111 | H-e-b, Lp | Clinical Medical Laboratory | 1702 11th St, Huntsville, TX 77340 | 2017-06-18 |
Find all providers in zip 77340 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346469244 | Whitney Owen Shelton | Dentist | 1105 Gleneagles Dr Sw, Huntsville, AL 35801-6405 | 2007-04-25 |
1730281692 | Michael David Brown | Dentist | 114 Bob Wallace Ave Sw, Huntsville, AL 35801-3823 | 2006-09-02 |
1417999152 | Brian A Beitel | Dentist | 580 Airport Rd Sw, Huntsville, AL 35802-1309 | 2006-06-10 |
1932151594 | Dean Corbly Brandon | Dentist | 4001 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2006-05-16 |
1821591561 | Beitel Pediatric Dentistry | Dentist | 580 Airport Rd Sw, Huntsville, AL 35802-1309 | 2018-03-08 |
1912021247 | Charles R Hall | Dentist | 1110 Meridian St N, Huntsville, AL 35801-4636 | 2007-03-19 |
1962526285 | Richard R Cannon | Dentist | 1110 Meridian St N, Huntsville, AL 35801-4636 | 2007-03-19 |
1851446595 | Alabama Pediatric Dental Associates and Orthodontics | Dentist | 4001 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2007-01-24 |
1710053376 | Brent Marc Masterson | Dentist | 4001 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2006-11-27 |
1467557199 | Todd L Lackey | Dentist | 4001 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2006-09-14 |
Find all providers in HUNTSVILLE |
City | HUNTSVILLE |
Zip Code | 77340 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.