Healthcare Provider Details

I. General information

NPI: 1861869067
Provider Name (Legal Business Name): DAVID FROMMERT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2015
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18511 HIGHLANDER MEDICS ST
EL PASO TX
79906-5327
US

IV. Provider business mailing address

18511 HIGHLANDER MEDICS ST
EL PASO TX
79906-5327
US

V. Phone/Fax

Practice location:
  • Phone: 915-742-1321
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number10522
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: