Ronald Derald Fryar in Ingleside - Independent Duty Corpsman
Ronald Derald Fryar - NPI 1700090685
Ronald Derald Fryar is a Independent Duty Corpsman in Ingleside, Texas. Ronald Derald Fryar practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Ronald Derald Fryar is 1700090685. The last update date is 2007-07-08.
Ronald Derald Fryar's current location address is 1451 Lexington Drive, Ingleside, Texas. You can contact this provider via phone number 3617764077. The mailing address for Ronald Derald Fryar is 1451 Lexington Drive, Ingleside, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Derald Fryar |
|---|---|
| Address | 1451 Lexington Drive, Ingleside, Texas |
| Phone Number | 3617764077 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1700090685 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1451 Lexington Drive |
|---|---|
| City | Ingleside |
| State | Texas (TX) |
| Post Code | 78362 |
| Phone Number | 3617764077 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
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Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a v |
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What is the unique 10-digit identification code assigned to Ronald Derald Fryar by the Centers for Medicare & Medicaid Services?
The Ronald Derald Fryar has been issued the NPI (National Provider Identifier) 1700090685, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Ronald Derald Fryar is located?
The Ronald Derald Fryar is situated at the following address: 1451 Lexington Drive, Ingleside, TX, 78362.
What is the area of specialization for Ronald Derald Fryar, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ronald Derald Fryar is Independent Duty Corpsman, and the corresponding taxonomy code that categorizes this area of expertise is 1710I1002X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700090685 to Ronald Derald Fryar?
The Centers for Medicare & Medicaid Services originally issued the 1700090685 to Ronald Derald Fryar on 2007-05-09.
When was the Ronald Derald Fryar's information last updated?
The Ronald Derald Fryar's information was last updated on 2007-07-08.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL