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NPI Code Detail

MEDICARE: HARRY P FROESCHKE MD

MEDICARE: HARRY P FROESCHKE MD
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
1207V00000XObstetrics & Gynecology PhysicianG7809TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710975560
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARRY P FROESCHKE MD
Provider Business Mailing Address
First Line : 1107 E MARSHALL AVE
Second Line :
City : LONGVIEW
State : TX
Zip : 75601-5602
Country : US
Telephone Number : 903-758-2610
Fax Number : 903-758-7081
Provider Business Practice Location Address
First Line : 705 E MARSHALL AVE STE 3000
Second Line :
City : LONGVIEW
State : TX
Zip : 75601-5661
Country : US
Telephone Number : 903-758-2610
Fax Number : 903-758-2610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 08/26/2025

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