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1962519959
MARK FREDRICKSON
SAN ANTONIO, TX
NPI
1962519959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: TX K9535)
Enumeration Date
2006-08-24
Last Update Date
2007-07-08
Business Address
MARK FREDRICKSON MD
4502 MEDICAL DR
SAN ANTONIO, TX 78229-4402
Phone number: 210-257-1400
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Mailing Address
MARK FREDRICKSON MD
UTHSCSA, UTHSCSA, DEPT. OF REHAB MEDICINE 7703 FLOYD CURL DRIVE, RM 628L
SAN ANTONIO, TX 78229
Phone number: 210-358-4451
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