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Individual

WILLIAM G FREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, CCCA

Contact information

Practice address
1500 S MAIN ST, FORT WORTH, TX 76104
(817) 927-1171
(817) 927-1605
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 927-1605

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50978
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
094609704
TX
01
P00693127
RAILROAD MEDICARE
Enumeration date
07/28/2006
Last updated
02/18/2010
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