IndividualActive
Ronald Fryar, IDC
NPI 1700090685 · Independent Duty Corpsman · Ingleside, TX
Provider details
- NPI number
- 1700090685
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1451 Lexington Drive
Ingleside, TX 78362
Phone: (361) 776-4077
Approximate (ZIP-level) locationGet directions
Mailing address
1130 La Mirada
Portland, TX 78374-4133
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.