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1578546610
JOHN W FREDERICK
AUSTIN, TX
NPI
1578546610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX H0359)
Enumeration Date
2005-11-22
Last Update Date
2017-02-02
Business Address
-- JOHN W FREDERICK MD
6835 AUSTIN CENTER BLVD
AUSTIN, TX 78731-3166
Phone number: 512-346-6611
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Mailing Address
-- JOHN W FREDERICK MD
4515 SETON CENTER PKWY SUITE 215 - CREDENTIALING
AUSTIN, TX 78759-5290
Phone number: 512-231-5507
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