Dr Maliwan Kositanon Fryling, MD is a
Family Medicine physician based in Kelly Usa, Texas. Dr Maliwan Kositanon Fryling is licensed to practice in Texas (license number G4366) and her current practice location is 204 Paul Wagner Dr, Kelly Usa, Texas. She can be reached at her office (for appointments etc.) via phone at
(210) 925-6336.
NPI number for Dr Maliwan Kositanon Fryling is 1518934553 and her current mailing address is 2200 Bergquist Drive,suite 1, Lackland Afb, Lackland Afb, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518934553.
Physician's Profile
| Full Name | Dr Maliwan Kositanon Fryling |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 204 Paul Wagner Dr, Kelly Usa, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518934553
- Provider Enumeration Date: 03/08/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Maliwan Kositanon Fryling such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518934553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | G4366 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Maliwan Kositanon Fryling is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Maliwan Kositanon Fryling, MD
2200 Bergquist Drive,suite 1, Lackland Afb,
Lackland Afb, TX 78236-5300
Ph: (210) 925-6336 | Dr Maliwan Kositanon Fryling, MD
204 Paul Wagner Dr,
Kelly Usa, TX 78241
Ph: (210) 925-6336 |
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