Provider Demographics
NPI:1750438636
Name:FROST, NATALIE WILLIFORD (MD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:WILLIFORD
Last Name:FROST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:KAY
Other - Last Name:FROST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1201 W. 38TH ST.
Mailing Address - Street 2:NEONATAL ICU 8TH FLOOR
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705
Mailing Address - Country:US
Mailing Address - Phone:512-324-1000
Mailing Address - Fax:512-324-1089
Practice Address - Street 1:1201 W. 38TH ST.
Practice Address - Street 2:NEONATAL ICU 8TH FLOOR
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705
Practice Address - Country:US
Practice Address - Phone:512-324-1000
Practice Address - Fax:512-324-1089
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7200208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics