Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | 5076 | TX |
Y | 213ER0200X | Radiology | 5076 | TX |
NPI | 1821022096 |
---|---|
Provider Name | Dr. Edward C Fritsch JR. |
First Address | Houston, TX 77042-4559 |
Second Address | Houston, TX 77080-3839 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 13/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U02275 | (02) | TX |