Healthcare Provider Details

I. General information

NPI: 1528006079
Provider Name (Legal Business Name): FRANK M. FICHTEL, M,D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 08/27/2020
Certification Date: 08/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5282 MEDICAL DR STE 600
SAN ANTONIO TX
78229-6114
US

IV. Provider business mailing address

5282 MEDICAL DR STE 600
SAN ANTONIO TX
78229-6114
US

V. Phone/Fax

Practice location:
  • Phone: 210-375-3399
  • Fax: 210-519-3192
Mailing address:
  • Phone: 210-375-3399
  • Fax: 210-519-3192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberJ6429
License Number StateTX

VIII. Authorized Official

Name: MRS. LESLY FICHTEL
Title or Position: BILLING
Credential:
Phone: 210-744-8842