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Individual

DR. DAVID H FRIDIE II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2808 FOUNTAIN PLAZA BLVD, EDINBURG, TX 78539
(956) 318-1010
(956) 381-5857
Mailing address
PO BOX 3820, EDINBURG, TX 78540
(956) 318-1010
(956) 381-5857

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1177
TX
208600000X
Surgery Physician
1177
TX
213E00000X
Podiatrist
Primary
1177
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110401003
TX
Enumeration date
11/06/2006
Last updated
11/19/2009
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