Fryar, Ronald Derald

Fryar, Ronald Derald is an individual health care provider with primary practice located at 1451 Lexington Drive , Ingleside TX 78362. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Fryar, Ronald Derald can be contacted via phone (361) 776-4077.

Contact Information

Primary practice address
1451 Lexington Drive Ingleside TX 78362
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1700090685
LBN Legal business name Fryar, Ronald Derald
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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