Individual
BLAKE E. FRIEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 FOREST LN, SUITE D-540, DALLAS, TX 75230-2505
(972) 566-7488
Mailing address
7777 FOREST LN, SUITE D-540, DALLAS, TX 75230-2505
(972) 566-7488
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M-0080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182945902
—
TX
05
—
182945903
—
TX
01
—
8BD726
BCBS
TX
Enumeration date
07/20/2006
Last updated
07/29/2011
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