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

Edgar Fragoso, LSA

Individual provider Surgical Physician Assistant · NPI 1255518189

Edgar Fragoso, LSA is a Surgical Physician Assistant in Houston, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2008
Specialties on file
2

Practice location Address checks out

1300 Castle Ct
Houston, TX 77006-5702
Phone: (210) 859-5438
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence SA00305 (TX)
Surgical Assistant Taxonomy 246ZC0007X · Licence SA00305 (TX)

Record details

NPI number1255518189
Entity typeIndividual (Type 1)
GenderMale
Credentials LSA
Sole proprietorYes
NPI enumeratedJanuary 22, 2008
Last updated in NPPESSeptember 8, 2024
Certification dateSeptember 8, 2024

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