Mr. Reginald Augustus Frederick, CST, CSA

Individual provider Surgical Assistant · NPI 1255545315

Mr. Reginald Augustus Frederick, CST, CSA is a Surgical Assistant in Fort Hood, Texas. Practices as a sole proprietor. Licensed in District of Columbia.

Licensed in: DC
In the registry since: 2007

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Practice location Partly verified

Some contact details are missing from the federal record.

Carl R Darnall Army Medical Center 36065 Santa Fe Ave
Fort Hood, TX 76544-4752
Phone: (254) 618-7508

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Specialties & licences

Surgical Assistant (primary)	Taxonomy 246ZC0007X · Licence SA0076 (DC)

Record details

NPI number	1255545315
Entity type	Individual (Type 1)
Gender	Male
Credentials	CST , CSA
Sole proprietor	Yes
NPI enumerated	May 9, 2007
Last updated in NPPES	January 8, 2019
Mailing address	761st Tank Bn. Ave, Bldg.332, Po Box 5865, Fort Hood, TX 76544-0865