Gary M Frederick O.D.

NPI 1003825217 - Optometrist - 152W00000X

NPI Details
NPI 1003825217
Gender Male
Enumeration Date 08/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
201 E BOLING HWY
WHARTON TX, 77488-3238, US
Phone (979) 543-4490
Fax (979) 532-4500
Business Location
201 E BOLING HWY
WHARTON TX, 77488-3238, US
Phone (979) 543-4490
Fax (979) 532-4500
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 2122TG
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According to our database, Dr. Gary M Frederick O.D. NPI is 1003825217, taxonomy code is 152W00000X and license number is 2122TG, license state is located at Texas. Gary M Frederick O.D. physically located at 201 E Boling Hwy, Wharton TX, 77488-3238. NPI Number Gary M Frederick O.D. has the Individual type.

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1003825217 NPI number is provided on an as is basis without warranty of any kind. 1003825217 is maintained by the National Plan & Provider Enumeration System. The contents of Gary M Frederick O.D. are for informational purposes only.