| Doctor Name: | TYRUS R FRERKING |
| NPI Number: | 1134114093 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | P8355 |
| Business Practice Address: | 1308 Paluxy Rd Ste E Suite 203 Granbury, TX - 760485689 |
| Business Phone Number: | 8175793970 |
| Business Fax Number: | 8175793969 |
| Mailing Address: | 1308 Paluxy Rd Ste E, Suite 203 GRANBURY |
| State: | TX |
| Postal Code: | 760485689 |
| Phone Number: | 8175793970 |
| Fax Number: | 8175793969 |
| NPI Enumeration Date: | 09/16/2005 |
| NPI Last Update Date: | 03/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | P8355 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |