Healthcare Provider Details

I. General information

NPI: 1770210627
Provider Name (Legal Business Name): FRIO HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2022
Last Update Date: 08/02/2022
Certification Date: 08/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 MEDICAL DR
PEARSALL TX
78061-6604
US

IV. Provider business mailing address

200 S INTERSTATE 35
PEARSALL TX
78061-6601
US

V. Phone/Fax

Practice location:
  • Phone: 830-334-4142
  • Fax: 830-334-8470
Mailing address:
  • Phone: 830-334-3617
  • Fax: 830-334-9812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MONICA ANN MARTINEZ
Title or Position: RHC DIRECTOR
Credential:
Phone: 830-326-3171