Fry Road Pediatrics P.a

NPI #1790018331 in Katy, Texas

Provider Information

NPI Number: 1790018331
Entity Type: Organization
Organization Name: Fry Road Pediatrics P.a
Primary Specialty: Pediatrics
Enumeration Date: Sep 15, 2009
Last Updated: Sep 15, 2009

Practice Location

Address: 21372 PROVINCIAL BLVD
City: Katy
State: Texas
ZIP Code: 77450-7580
Phone: (281) 578-9766

Authorized Official

Name: IFTHEKAR UNNISSA, MD
Title: PRESIDENT
Phone: (281) 578-9766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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