| Fraga Salido Inc. | |
|
111 W Main St Grand Prairie TX 75050-5618 | |
| (972) 266-5297 | |
| (214) 975-2793 |
| Full Name | Fraga Salido Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 111 W Main St, Grand Prairie, Texas |
| Authorized Official Name and Position | David Hoblit (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9722665297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fraga Salido Inc. 111 W Main St Grand Prairie TX 75050-5618 Ph: (972) 266-5297 | Fraga Salido Inc. 111 W Main St Grand Prairie TX 75050-5618 Ph: (972) 266-5297 |
| NPI Number | 1932304805 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932304805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E0056 (Texas) | Primary |
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