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NPI Code Detail

MEDICARE: RICHARD C. FRIES DO

MEDICARE: RICHARD C. FRIES DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZF0201XForensic Pathology PhysicianP7914TX

General Provider Information

NPI Number : 1356501092
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD C. FRIES DO
Provider Business Mailing Address
First Line : 3248 W 7TH ST
Second Line : APT 331
City : FORT WORTH
State : TX
Zip : 76107-2768
Country : US
Telephone Number : 817-353-9952
Fax Number :
Provider Business Practice Location Address
First Line : 200 FELIKS GWOZDZ PL
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4919
Country : US
Telephone Number : 817-920-5700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2008
Last Update Date : 09/26/2013

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