MEDICARE: DR. EDWARD C FRITSCH JR. D.C.

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	111NR0200X	Radiology Chiropractor	5076	TX

General Provider Information

NPI Number	:	1821022096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD C FRITSCH JR. D.C.

Provider Business Mailing Address
First Line	:	16920 PARK ROW
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-4920
Country	:	US
Telephone Number	:	713-425-8122
Fax Number	:	866-903-1444

Provider Business Practice Location Address
First Line	:	2600 GESSNER DR
Second Line	:	STE 150
City	:	HOUSTON
State	:	TX
Zip	:	77080-3839
Country	:	US
Telephone Number	:	713-425-8119
Fax Number	:	713-425-8182

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	01/06/2023

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