MEDICARE: FRAZIER HEALTH HOLDINGS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1033768239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRAZIER HEALTH HOLDINGS LLC

Provider Business Mailing Address
First Line	:	1717 SAINT JAMES PL STE 305
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-3404
Country	:	US
Telephone Number	:	832-730-1255
Fax Number	:

Provider Business Practice Location Address
First Line	:	1717 SAINT JAMES PL STE 305
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-3404
Country	:	US
Telephone Number	:	832-730-1255
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	RODERICK N FRAZIER
Credential	:	MD
Telephone Number	:	832-730-1255

Provider Enumeration Date	:	09/10/2019
Last Update Date	:	02/05/2021

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