Healthcare Provider Details
I. General information
NPI: 1568600971
Provider Name (Legal Business Name): FROILAN MARTIN FRANCISCO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/23/2009
Last Update Date: 08/22/2022
Certification Date: 06/21/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11529 S HIGHWAY 6
SUGAR LAND TX
77498-4932
US
IV. Provider business mailing address
127 MONARCH TRL
SUGAR LAND TX
77498-2519
US
V. Phone/Fax
- Phone: 713-461-2915
- Fax:
- Phone: 973-715-1448
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 25MA08615200 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: