Organization
GREENVILLE CHILDREN'S CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID K FRY M.D. (PRESIDENT)
(903) 408-7940
Entity
Organization
Contact information
Practice address
4211 JOE RAMSEY BLVD E STE 213, GREENVILLE, TX 75401-7857
(903) 408-7940
(903) 408-7941
Mailing address
4211 JOE RAMSEY BLVD E STE 213, GREENVILLE, TX 75401-7857
(903) 408-7940
(903) 408-7941
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J2568
TX
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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