Individual
JAMES M. FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5708 EDWARDS RANCH ROAD, FORT WORTH, TX 76109
(817) 336-4040
(817) 336-6780
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D9443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10028541
AMERIGROUP
TX
01
—
130900704
MEDICAID EPSDT
TX
05
—
130922101
—
TX
01
—
4137128
AETNA
TX
01
—
83221X
BCBS
TX
Enumeration date
05/01/2006
Last updated
09/08/2015
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