Doctor Name: | MS. DESIREE FRYE |
NPI Number: | 1073634028 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP-BC |
License Number: | 642522 |
Business Practice Address: | 425 N Highland Ave Suite 130 Sherman, TX - 750927377 |
Business Phone Number: | 9038929179 |
Business Fax Number: | |
Mailing Address: | Po Box 35629, DALLAS |
State: | TX |
Postal Code: | 752350629 |
Phone Number: | 2144242213 |
Fax Number: | 2142312159 |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 06/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 642522 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |