Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 73477 | TX |
NPI | 1003490368 |
---|---|
Provider Name | George Fritts JR. |
First Address | Hurst, TX 76054-2805 |
Second Address | Hurst, TX 76053-4011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2021 |
Last Update Date | 11/05/2021 |