Individual
DR. FRED FARIAS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1313 S 10TH ST, MCALLEN, TX 78501-5023
(956) 630-2020
(956) 682-4154
Mailing address
1313 S 10TH ST, MCALLEN, TX 78501-5023
(956) 630-2020
(956) 682-4154
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E71M
BCBS
TX
05
—
121649101
—
TX
Enumeration date
01/10/2006
Last updated
07/16/2008
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