Mary Lou Fragile, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N3031 Issued in TX

Practice address

2806 N Navarro St
Suite B
Victoria, TX 77901-3905

Phone

(361) 576-4100

Fax

(361) 576-4103

NPI assigned

Dec 28, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Twin Fountains Urgent Care Center

  • Internal Medicine Physician
  • Victoria, TX
  • NPI 1598078453
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1699831586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 N NAVARRO ST",
            "address_2": "SUITE B",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013905",
            "telephone_number": "361-576-4100",
            "fax_number": "361-576-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 N NAVARRO ST",
            "address_2": "SUITE B",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013905",
            "telephone_number": "361-576-4100",
            "fax_number": "361-576-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGILE",
        "first_name": "MARY",
        "middle_name": "LOU",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1839",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0062XG",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202614801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8BH061",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shania J Ford, PA-C
• Thomas Robert Fordiani, DDS
• Jennifer Ann Fort, LPC, LMFT
• Sanami Ann Fottral
• Harold Fowler, RPH
• Bobbi Francis, PT
• Kristopher Andrew Francis, DPT
• Frank J. Henry DPM
• Lonnie Ray Franka Jr., CHIROPRACTOR
• Clayton Franke, D.C.

• Family Medicine Physician in Victoria, TX
• Providers in Victoria, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.