Individual
CEDRIC FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36065 SANTA FE AVE, FORT CAVAZOS, TX 76544-5060
(918) 944-3852
Mailing address
36065 SANTA FE AVE, FORT CAVAZOS, TX 76544-5060
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10091517
TX
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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