Individual provider · Type 1 NPI

Ronald Derald Fryar Jr., IDC

Independent Duty Corpsman · Ingleside, TX

NPI number 1700090685 Active

Practice location

1451 Lexington Drive
Ingleside, TX 78362

Call (361) 776-4077 Map

Mailing address

1130 La Mirada
Portland, TX 78374-4133

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNone listed

Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…

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About NPI 1700090685

Ronald Derald Fryar Jr., IDC's National Provider Identifier is 1700090685, issued on May 9, 2007. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Ingleside, TX. The record was last updated on Jul 8, 2007.