Individual
MRS. MARY KATHRYN FRITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1410 E SANDY LAKE RD, COPPELL, TX 75019-3119
(972) 304-4444
Mailing address
3305 CAMDEN DR, FLOWER MOUND, TX 75028-2923
(318) 282-9701
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP130668
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP130668
TX
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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