MEDICARE: ALAN FRAUSTO

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	225X00000X	Occupational Therapist		TX

General Provider Information

NPI Number	:	1477422103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN FRAUSTO

Provider Business Mailing Address
First Line	:	4811 CHISOS LN
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79904-2003
Country	:	US
Telephone Number	:	915-667-8025
Fax Number	:

Provider Business Practice Location Address
First Line	:	4811 CHISOS LN
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79904-2003
Country	:	US
Telephone Number	:	915-667-8025
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2025
Last Update Date	:	10/31/2025

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Directions to “ ALAN FRAUSTO ” Practice Location

Language	Start Address	Practice Location

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