MEDICARE: DR. LON ALAN FRY D.O.

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
1	207LP3000X	Pediatric Anesthesiology Physician	K1196	TX
2	207L00000X	Anesthesiology Physician	K1196	TX

General Provider Information

NPI Number	:	1780656165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LON ALAN FRY D.O.

Provider Business Mailing Address
First Line	:	203 TOPHILL RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-3443
Country	:	US
Telephone Number	:	210-824-6986
Fax Number	:	210-292-7986

Provider Business Practice Location Address
First Line	:	BROOKE ARMY MEDICAL CENTER
Second Line	:	3551 ROGER BROOKE DRIVE
City	:	JBSA FORT SAM HOUSTON
State	:	TX
Zip	:	78234-4504
Country	:	US
Telephone Number	:	210-916-6705
Fax Number	:	210-916-8712

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	05/10/2020

Similar Medicare Providers

1467456426 — DR. STEPHEN DAVID GELFOND MD
Practice Location Address:

BROOKE ARMY MEDICAL CENTER , 3551 ROGER BROOKE DR. MCHE- ZQQ
JBSA FORT SAM HOUSTON, TX
78234-4504

Practice Phone: 210-915-5503
Practice Fax:

1114917408 — DR. KYLE RUBEN WALKER D.O.
Practice Location Address:

3551 ROGER BROOKE DRIVE
JBSA FORT SAM HOUSTON, TX
78234-4504

Practice Phone: 210-916-7890
Practice Fax:

1730160656 — DR. EVAN M. RENZ M.D.
Practice Location Address:

3551 ROGER BROOKE DR , MCHE-QD (CREDENTIALS)
JBSA FORT SAM HOUSTON, TX
78234-4504

Practice Phone: 210-916-5509
Practice Fax:

1083689517 — BRIAN C BARTHOL PHARM.D.
Practice Location Address:

3551 ROGER BROOKE DR
JBSA-FORT SAM HOUSTON, TX
78234-4504

Practice Phone: 210-539-9582
Practice Fax:

1912975905 — DR. FRANCIS THOMAS HOLLAND M.D.
Practice Location Address:

3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX
78234-4504

Practice Phone: 210-539-9271
Practice Fax:

1154359198 — LISA MARIE WEEKS MD
Practice Location Address:

BROOKE ARMY MEDICAL CENTER , 3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX
78234-4504

Practice Phone: 210-539-9271
Practice Fax:

Directions to “ DR. LON ALAN FRY D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.