MEDICARE: JEFFERY M FRITZ 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
1	207L00000X	Anesthesiology Physician	L1048	TX
2	208VP0014X	Interventional Pain Medicine Physician	L1048	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8F4041	OTHER		BC

General Provider Information

NPI Number	:	1861562407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFERY M FRITZ MD

Provider Business Mailing Address
First Line	:	13101 PRESTON RD UNIT 110648
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-5237
Country	:	US
Telephone Number	:	512-422-0633
Fax Number	:	469-802-0070

Provider Business Practice Location Address
First Line	:	801 ROAD TO SIX FLAGS W STE 146
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-2600
Country	:	US
Telephone Number	:	214-980-9400
Fax Number	:	469-802-0070

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

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	05/04/2026

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Directions to “ JEFFERY M FRITZ MD” Practice Location

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