Carylon Frerich in Big Spring - Physician Assistant

Carylon Frerich - NPI 1639178080

Carylon Frerich is a Physician Assistant in Big Spring, Texas. Carylon Frerich practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Carylon Frerich is 1639178080. The last update date is 2013-08-02.

Carylon Frerich's current location address is 1501 W 11th Pl, Big Spring, Texas. You can contact this provider via phone number 4322636018. The mailing address for Carylon Frerich is 1501 W 11th Pl, Big Spring, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Carylon Frerich
Address 1501 W 11th Pl, Big Spring, Texas
Phone Number 4322636018
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1639178080
Provider Enumeration Date 2005-07-19
Last Updated Date 2013-08-02

Provider Mailing Address Detail

Address 1501 W 11th Pl
City Big Spring
State Texas (TX)
Post Code 797204119
Phone Number 4322636018
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA03312
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
184362501 TX --
8N4712 TX BCBS OF TX

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FAQs about Carylon Frerich

What is the unique 10-digit identifier code issued to Carylon Frerich by the Centers for Medicare & Medicaid Services?

The Carylon Frerich has been assigned the NPI (National Provider Identifier) 1639178080 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Carylon Frerich's facilities are situated?

The facilities of Carylon Frerich are physically located at the following address: 1501 W 11Th Pl, Big Spring, TX, 797204119.

What is Carylon Frerich's specialized field of practice, and what is the corresponding taxonomy classification code?

The Carylon Frerich's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

When did the Carylon Frerich receive its 1639178080?

The Carylon Frerich was issued its 1639178080 on 2005-07-19, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Carylon Frerich, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Carylon Frerich, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-08-02.

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