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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114910379 | NPPES |
| Texas | MEDICAID | 130762108 | |
| Texas | Other | 401696YK7L |
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