Organization
MAGUS PEDIATRIC CARDIOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW D FRYER MD (OWNER)
(972) 238-5437
Entity
Organization
Contact information
Practice address
648 W CAMPBELL RD, SUITE B, RICHARDSON, TX 75080-3300
(972) 238-5437
(972) 238-5434
Mailing address
PO BOX 740127, DALLAS, TX 75374-0127
(972) 238-5437
(972) 238-5434
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A45576
TX
2080P0202X
Pediatric Cardiology Physician
Primary
A45576
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095042001
—
TX
Enumeration date
03/23/2007
Last updated
10/31/2008
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