Individual
DR. JUNIOR DEFREITAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3324 COLORADO BLVD, STE 103, DENTON, TX 76210
(940) 891-1788
(940) 891-1658
Mailing address
3324 COLORADO BLVD, STE 103, DENTON, TX 76210
(940) 891-1788
(940) 891-1658
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
J9655
TX
207Y00000X
Otolaryngology Physician
Primary
J9655
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036291501
—
TX
Enumeration date
09/09/2005
Last updated
11/16/2009
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