Healthcare Provider Details

I. General information

NPI: 1508874157
Provider Name (Legal Business Name): RALPH JAMES FRITZSCH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 08/22/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 CULLY DR STE C
KERRVILLE TX
78028
US

IV. Provider business mailing address

575 HILL COUNTRY DR
KERRVILLE TX
78028-6024
US

V. Phone/Fax

Practice location:
  • Phone: 830-257-7533
  • Fax: 830-896-4151
Mailing address:
  • Phone: 830-258-7762
  • Fax: 830-258-7098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberJ7326
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: