| Provider / Organization | NPI | Date Certified |
|---|---|---|
| EDGAR FRAGOSO | 1255518189 | 2024-09-08 |
Edgar Fragoso is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1255518189. Registration indicates Edgar Fragoso is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant (Physician Assistant: Surgical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Surgical Technologist, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, ) (Technologists, Technicians & Other Technical Service Providers, Specialist/Technologist, Other) (Specialist/Technologist, Other: Certified First Assistant, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist, Other Surgical Assistant, Technologists, Technicians & Other Technical Service Providers) (Specialist/Technologist, Other, )
| Entity Type | Individual |
| Provider Name | Edgar Fragoso LSA |
| Practice Office Address | 1300 CASTLE CT HOUSTON, TX US |
| Practice Office Telephone | 2108595438 |
| Mailing Address | PO BOX 667090 HOUSTON, TX 772667090 US |
| Business Telephone | 2108595438 |
| Code | Practice | License No State |
|---|---|---|
| 363AS0400X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Surgical All Other Specialties & Provider Types Physician Assistant Surgical Technologist Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | SA00305
TX |
| 246ZC0007X | Technologists, Technicians & Other Technical Service Providers Specialist/Technologist, Other Specialist/Technologist, Other: Certified First Assistant All Other Specialties & Provider Types Specialist/Technologist, Other Surgical Assistant Technologists, Technicians & Other Technical Service Providers Specialist/Technologist, Other | SA00305
TX |