EDGAR FRAGOSO

HOUSTON, TX
NPI1255518189
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: TX  SA00305)
Additional Taxonomies246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: TX  SA00305)
Enumeration Date2008-01-22
Last Update Date2024-09-08
Business Address
EDGAR FRAGOSO LSA
1300 CASTLE CT
HOUSTON, TX 77006-5702
Phone number: 210-859-5438
Mailing Address
EDGAR FRAGOSO LSA
PO BOX 667090
HOUSTON, TX 77266-7090
Phone number: 210-859-5438