Provider Demographics
NPI:1225431091
Name:KAYCE A FRYE
Entity Type:Organization
Organization Name:KAYCE A FRYE
Other - Org Name:SOUTH TEXAS HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FNP/CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAYCE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FRYE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP, DC
Authorized Official - Phone:956-763-7767
Mailing Address - Street 1:17655 HENDERSON PASS APT 816
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1547
Mailing Address - Country:US
Mailing Address - Phone:956-763-7767
Mailing Address - Fax:
Practice Address - Street 1:17655 HENDERSON PASS APT 816
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1547
Practice Address - Country:US
Practice Address - Phone:956-763-7767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5449111N00000X
TXF0914439363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty