Individual
LIAM MCCOY FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1108 LAVACA ST, SUITE 110-320, AUSTIN, TX 78701-2172
(512) 477-4088
(512) 482-0390
Mailing address
1108 LAVACA ST, SUITE 110-320, AUSTIN, TX 78701-2172
(512) 477-4088
(512) 482-0390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13339
HI
207R00000X
Internal Medicine Physician
M3553
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
M3553
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192972101
—
TX
01
—
8W4930
BCBS OF TEXAS
TX
01
—
P00373885
MEDICARE RAILROAD
TX
Enumeration date
07/21/2006
Last updated
11/18/2025
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