| NPI | 1518607506 |
|---|---|
| Doing Business As | FRY FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MAIQUEL RUBIO PAVON Owner 832-742-0666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-03-29 |