Organization
FRY ROAD PEDIATRICS P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFTHEKAR UNNISSA MD (PRESIDENT)
(281) 578-9766
Entity
Organization
Contact information
Practice address
21372 PROVINCIAL BLVD, KATY, TX 77450-7580
(281) 578-9766
(281) 578-6540
Mailing address
21372 PROVINCIAL BLVD, KATY, TX 77450-7580
(281) 578-9766
(281) 578-6540
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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