Healthcare Provider Details

I. General information

NPI: 1083293567
Provider Name (Legal Business Name): ERIC FRIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2021
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11071 STATE HIGHWAY 151 STE 101
SAN ANTONIO TX
78251-4844
US

IV. Provider business mailing address

11071 STATE HIGHWAY 151 STE 101
SAN ANTONIO TX
78251-4844
US

V. Phone/Fax

Practice location:
  • Phone: 210-450-9900
  • Fax: 210-450-9901
Mailing address:
  • Phone: 210-450-9900
  • Fax: 210-450-9901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberU8058
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberU8058
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: