MEDICARE: DR. CARLOS FREYMANN III D.D.S

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	1223G0001X	General Practice Dentistry	18657	TX

General Provider Information

NPI Number	:	1184746299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLOS FREYMANN III D.D.S

Provider Business Mailing Address
First Line	:	6735 FM 78
Second Line	:	SUITE 101
City	:	SAN ANTONIO
State	:	TX
Zip	:	78244-1367
Country	:	US
Telephone Number	:	210-661-6200
Fax Number	:	210-661-6684

Provider Business Practice Location Address
First Line	:	6735 FM 78
Second Line	:	101
City	:	SAN ANTONIO
State	:	TX
Zip	:	78244
Country	:	US
Telephone Number	:	210-661-6200
Fax Number	:	210-661-6684

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	01/07/2009

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