Healthcare Provider Details
I. General information
NPI: 1326115676
Provider Name (Legal Business Name): DONALD C. FRAME, MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/30/2006
Last Update Date: 10/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
910 SE MILITARY DR SUITE 120
SAN ANTONIO TX
78214-2825
US
IV. Provider business mailing address
910 SE MILITARY DR SUITE 120
SAN ANTONIO TX
78214-2825
US
V. Phone/Fax
- Phone: 210-922-8346
- Fax: 210-922-8350
- Phone: 210-922-8346
- Fax: 210-922-8350
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083P0011X |
| Taxonomy | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
| License Number | L1043T |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PE0004X |
| Taxonomy | Emergency Medical Services (Emergency Medicine) Physician |
| License Number | L1043 |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | L1043 |
| License Number State | TX |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 202K00000X |
| Taxonomy | Phlebology Physician |
| License Number | L1043 |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
DONALD
C
FRAME
Title or Position: PRESIDENT
Credential: MD
Phone: 210-416-7443