Healthcare Provider Details

I. General information

NPI: 1184126328
Provider Name (Legal Business Name): MICHAEL FRAZIER DPM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2018
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21301 KUYKENDAHL RD STE J
SPRING TX
77379-2614
US

IV. Provider business mailing address

14926 TERRA POINT DR
CYPRESS TX
77429-4948
US

V. Phone/Fax

Practice location:
  • Phone: 713-702-6632
  • Fax: 833-449-4091
Mailing address:
  • Phone: 713-702-6632
  • Fax: 833-449-4091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL JAMES FRAZIER
Title or Position: PODIATRIST
Credential: DPM
Phone: 713-702-6632