Individual
DEREK DUSTIN FRYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
670 N MACARTHUR BLVD # 100, COPPELL, TX 75019
(972) 745-4446
(972) 745-2597
Mailing address
670 N MACARTHUR BLVD # 100, COPPELL, TX 75019-2733
(972) 745-4446
(972) 745-2597
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11502
TX
Other
Enumeration date
08/09/2010
Last updated
05/24/2019
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