Organization
FRIDIE AND ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H FRIDIE II DPM (PHYSICIAN)
(956) 318-1010
Entity
Organization
Contact information
Practice address
2808 FOUNTAIN PLAZA BLVD, EDINBURG, TX 78539-8031
(956) 318-1010
(956) 381-5857
Mailing address
2808 FOUNTAIN PLAZA BLVD, EDINBURG, TX 78539-8031
(956) 318-1010
(956) 381-5857
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4700150001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110401003
—
TX
01
—
162596401
MEDICAID DME
TX
Enumeration date
03/17/2008
Last updated
08/28/2008
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