Frerich, Carylon

Frerich, Carylon is an individual health care provider with primary practice located at 1501 W 11Th Pl Suite 102, Big Spring TX 79720-4119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Frerich, Carylon can be contacted via phone (432) 263-6018.

Contact Information

Primary practice address
1501 W 11Th Pl Suite 102 Big Spring TX 79720-4119
Phone: (432) 263-6018
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA03312 Texas

Profile Details

NPI number 1639178080
LBN Legal business name Frerich, Carylon
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Aug 2nd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639178080 NPPES
Texas MEDICAID 184362501
Texas Other 8N4712

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