Healthcare Provider Details

I. General information

NPI: 1467437061
Provider Name (Legal Business Name): FRANK A REDMOND M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 06/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6720 BERTNER ST
HOUSTON TX
77030-2604
US

IV. Provider business mailing address

6750 WEST LOOP S SUITE 950
BELLAIRE TX
77401-4103
US

V. Phone/Fax

Practice location:
  • Phone: 832-355-2121
  • Fax:
Mailing address:
  • Phone: 713-838-0800
  • Fax: 713-838-0887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberK1018
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: