IndividualActive
Brandon Fry, ATP
NPI 1538505482 · Other Technician · Prosper, TX
Provider details
- NPI number
- 1538505482
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- ATP
- Sex
- Male
- Sole proprietor
- Yes
- License
- ATP62519 (TX)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
900 Blue Ridge Dr
Prosper, TX 75078-8696
Phone: (209) 304-6058
Approximate (ZIP-level) locationGet directions
Mailing address
900 Blue Ridge Dr
Prosper, TX 75078-8696
Registry dates
- Enumerated
- 2013-05-20
- Last updated
- 2024-06-10
- Certified
- 2024-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.