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1770014565

NPI Code Detail

MEDICARE: ARIEL FROST MD

MEDICARE: ARIEL FROST MD

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	207Y00000X	Otolaryngology Physician	35.144959	OH
2	207Y00000X	Otolaryngology Physician	U5400	TX
3	390200000X	Student in an Organized Health Care Education/Training Program
4	207YS0123X	Facial Plastic Surgery Physician	U5400	TX

General Provider Information

NPI Number	:	1770014565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIEL FROST MD

Provider Business Mailing Address
First Line	:	PO BOX 845347
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-5347
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6201 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-9201
Country	:	US
Telephone Number	:	214-645-8000
Fax Number	:

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

Provider Enumeration Date	:	03/23/2017
Last Update Date	:	11/12/2024

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Directions to “ ARIEL FROST MD” Practice Location

Language	Start Address	Practice Location

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