Individual
CARL LIONEL FRIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2514 BROADWAY ST, BIG SPRING, TX 79720-6309
(432) 270-1672
Mailing address
2514 BROADWAY ST, BIG SPRING, TX 79720-6309
(432) 270-1672
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
878886
TX
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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