| Charles D Fraser Jr, MD | |
|
4900 Mueller Blvd, Austin, TX 78723 | |
| (855) 324-0091 | |
| (512) 380-7532 |
| Full Name | Charles D Fraser Jr |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 4900 Mueller Blvd, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104906452 | NPI | - | NPPES |
| 133148004 | Other | TX | CSHCN |
| 133148001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0120X | Surgery - Pediatric Surgery | G8840 (Texas) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | G8840 (Texas) | Primary |
| Entity Name | Dell Childrens Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326072943 PECOS PAC ID: 8224092978 Enrollment ID: O20041112001030 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles D Fraser Jr, MD 6621 Fannin St, Houston, TX 77030-2303 Ph: (832) 826-5731 | Charles D Fraser Jr, MD 4900 Mueller Blvd, Austin, TX 78723 Ph: (855) 324-0091 |
Sara E Mendoza Crespo, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 4900 Mueller Blvd Ste 3s.003, Austin, TX 78723 Phone: 855-324-0091 | |
Dr. William F Kessler, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1010 W 40th St, Austin, TX 78756 Phone: 512-459-8753 Fax: 512-483-6807 | |
Dr. Emery W Dilling, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1010 W 40th St, Austin, TX 78756 Phone: 512-459-8753 Fax: 512-483-6807 | |
Dr. Brendan P Dewan, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1010 W 40th St, Austin, TX 78756 Phone: 512-459-8753 Fax: 512-483-6807 | |
Dr. John D Oswalt, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1010 W 40th St, Austin, TX 78756 Phone: 512-459-8753 Fax: 512-483-6807 | |
Stephen Dewan, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1010 W 40th St, Austin, TX 78756 Phone: 512-459-8753 Fax: 512-483-6828 | |
Dr. Davi Freitas Tenorio, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 4900 Mueller Blvd Ste 3s003, Austin, TX 78723 Phone: 512-324-3356 |