Fry, David K

Fry, David K is an individual health care provider with primary practice located at 4311 Wesley St , Greenville TX 75401-5639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fry, David K can be contacted via phone (903) 455-4458.

Contact Information

Primary practice address
4311 Wesley St Greenville TX 75401-5639
Phone: (903) 455-4458
Fax: (903) 455-1604
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X J2568 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 14506 Nebraska

Profile Details

NPI number 1114910379
LBN Legal business name Fry, David K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jul 8th, 2015 - about 11 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 1114910379 NPPES
Texas MEDICAID 130762108
Texas Other 401696YK7L

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