Basic Information
Provider Information | |||||||||
NPI: | 1770843450 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | TOLEDO-FRAZZINI | ||||||||
FirstName: | KARLA | ||||||||
MiddleName: | DELROCIO | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 12221 N MOPAC EXPY | ||||||||
Address2: |   | ||||||||
City: | AUSTIN | ||||||||
State: | TX | ||||||||
PostalCode: | 787582401 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5129014937 | ||||||||
FaxNumber: | 5129013945 | ||||||||
Practice Location | |||||||||
Address1: | 12221 N MOPAC EXPY | ||||||||
Address2: |   | ||||||||
City: | AUSTIN | ||||||||
State: | TX | ||||||||
PostalCode: | 787582401 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5129014009 | ||||||||
FaxNumber: | 5129013909 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 05/29/2012 | ||||||||
LastUpdateDate: | 01/26/2022 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | Q2496 | TX | N |   | Allopathic & Osteopathic Physicians | Hospitalist |   | 390200000X | BP10044778 | TX | N |   | Student, Health Care | Student in an Organized Health Care Education/Training Program |   | 207Q00000X | Q2496 | TX | Y |   | Allopathic & Osteopathic Physicians | Family Medicine |   |
No ID Information.