Individual
CHARLES F DRYDEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12505 LEBANON RD, EMERGENCY DEPARTMENT, FRISCO, TX 75035
(972) 963-3039
Mailing address
12505 LEBANON RD, EMERGENCY DEPARTMENT, FRISCO, TX 75035
(972) 963-3039
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J8523
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137409216
—
UT
01
—
P00869886
RRMCARE THRU IEPOS
TX
Enumeration date
06/07/2006
Last updated
03/01/2011
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