Individual
TYRUS R FRERKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1310 PALUXY RD STE 1400, GRANBURY, TX 76048-5655
(817) 579-3970
(817) 579-3969
Mailing address
1310 PALUXY RD STE 1400, GRANBURY, TX 76048-5655
(817) 579-3970
(817) 579-3969
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
34.004286
OH
207RC0000X
Cardiovascular Disease Physician
Primary
P8355
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0748203
—
OH
05
—
PENDING
—
TX
Enumeration date
09/16/2005
Last updated
04/30/2026
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