Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles D. Fraser Jr., MD

Individual provider Pediatric Surgery Physician · NPI 1104906452

Charles D. Fraser Jr., MD is a Pediatric Surgery Physician in Austin, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4900 Mueller Blvd
Austin, TX 78723
Phone: (855) 324-0091
Fax: (512) 380-7532
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence G8840 (TX)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence G8840 (TX)

Record details

NPI number1104906452
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESDecember 22, 2023
Certification dateDecember 22, 2023

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