| Freysurgical Llc | |
|
129 Rue Louis Xiv Lafayette LA 70508-5738 | |
| (337) 456-5765 | |
| (337) 456-6657 |
| Full Name | Freysurgical Llc |
|---|---|
| Speciality | General Practice |
| Location | 129 Rue Louis Xiv, Lafayette, Louisiana |
| Authorized Official Name and Position | Daniel J Frey (OWNER) |
| Authorized Official Contact | 3374565765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freysurgical Llc Po Box 51293 Lafayette LA 70505-1293 Ph: (337) 456-5765 | Freysurgical Llc 129 Rue Louis Xiv Lafayette LA 70508-5738 Ph: (337) 456-5765 |
| NPI Number | 1689058943 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 07/16/2020 |
| Medicare PECOS PAC ID | 5890002398 |
|---|---|
| Medicare Enrollment ID | O20150916001062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689058943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Daniel J Frey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881617892 PECOS PAC ID: 7416907464 Enrollment ID: I20050127000095 |
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