JEFFERY M FRITZ MD NPI 1861562407

NPI Information

NPI: 1861562407
Provider Name: JEFFERY M FRITZ, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
7901 JOHN W CARPENTER FWY
DALLAS, TX
ZIP 75247
Phone: (972) 382-9992
Get Directions

Jeffery M Fritz, MD is a general practice in Dallas, TX with 29 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Jeffery M Fritz, MD NPI is 1861562407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:1995

The provider's business location address is:

7901 JOHN W CARPENTER FWY
DALLAS, TX
ZIP 75247-832
Phone: (972) 382-9992
Fax: (469) 802-0070

The NPI 1861562407 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 2/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207L00000X	Anesthesiology		L1048	TEXAS	No
2	2086S0129X	Surgery	Vascular Surgery	L1048	TEXAS	No
3	208D00000X	General Practice		L1048	TEXAS	Yes
4	208VP0014X	Pain Medicine	Interventional Pain Medicine	L1048	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	141115902	MEDICAID	TEXAS
2	8F4041	OTHER		BC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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