MEDICARE: FRONTERA HEALTHCARE NETWORK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1407788748
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRONTERA HEALTHCARE NETWORK

Provider Business Mailing Address
First Line	:	205 W WINDCREST DR STE 310
Second Line	:
City	:	FREDERICKSBURG
State	:	TX
Zip	:	78624-4478
Country	:	US
Telephone Number	:	325-869-5500
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 W WINDCREST DR STE 310
Second Line	:
City	:	FREDERICKSBURG
State	:	TX
Zip	:	78624-4478
Country	:	US
Telephone Number	:	325-869-5500
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MIKKI HAND
Credential	:
Telephone Number	:	325-869-5500

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “FRONTERA HEALTHCARE NETWORK ” Practice Location

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