Individual
JANE D FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7007 BANDERA RD, STE. 19, SAN ANTONIO, TX 78238-1138
(210) 680-6000
(210) 680-9153
Mailing address
7007 BANDERA RD, STE. 19, SAN ANTONIO, TX 78238-1138
(210) 680-6000
(210) 680-9153
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F44389
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679552855
NPI
TX
01
—
890102
BCBS
TX
Enumeration date
01/16/2006
Last updated
11/02/2007
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