IndividualActive
Ethan Fry, DO
NPI 1245769124 · Clinical Cardiac Electrophysiology Physician · Temple, TX
Provider details
- NPI number
- 1245769124
- Entity type
- Individual
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 02008513A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2401 S 31st St
Temple, TX 76508-0001
Phone: (254) 724-2111
Approximate (ZIP-level) locationGet directions
Mailing address
2401 S 31st St
Temple, TX 76508-0001
Registry dates
- Enumerated
- 2017-06-05
- Last updated
- 2025-10-16
- Certified
- 2025-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.