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General NPI Number Information
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NPI Number | 1861562407
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Entity Type | Individual
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Provider Name | JEFFERY M FRITZ MD
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Gender | Male
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 801 ROAD TO SIX FLAGS W STE 146
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City | ARLINGTON
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State | TX
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Zip | 76012-2600
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Country | US
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Telephone | 214-980-9400
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Fax | 469-802-0070
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Provider Business Mailing Address
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Address Line | 13101 PRESTON RD UNIT 110648
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City | DALLAS
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State | TX
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Zip | 75240-5237
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Country | US
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Telephone | 512-422-0633
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | L1048
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | L1048
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | L1048
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License Number State | TX
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