Organization
DWAYNE FRIDAY, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ZELDA THOMAS (ADMINISTRATOR)
(915) 259-1390
Entity
Organization
Contact information
Practice address
811 CHELSEA ST STE A, EL PASO, TX 79903-4925
(915) 259-1390
(888) 824-5635
Mailing address
811 CHELSEA ST STE A, EL PASO, TX 79903-4925
(915) 259-1390
(888) 824-5635
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P3150
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298202701
—
TX
Enumeration date
07/18/2017
Last updated
07/21/2022
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