Provider Demographics
NPI:1285770784
Name:FRENZEL, CLAYTON A (MD)
Entity type:Individual
Prefix:
First Name:CLAYTON
Middle Name:A
Last Name:FRENZEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 NORTH DAVIS DRIVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012
Mailing Address - Country:US
Mailing Address - Phone:817-342-0232
Mailing Address - Fax:817-275-1401
Practice Address - Street 1:1000 NORTH DAVIS DRIVE
Practice Address - Street 2:SUITE B
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012
Practice Address - Country:US
Practice Address - Phone:817-342-0232
Practice Address - Fax:817-275-1401
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT045212208600000X
TXN3650208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTFF0219041OtherDEA