Provider Demographics
NPI:1235796582
Name:FRIEDRICHS, JAMES DILLAN (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:DILLAN
Last Name:FRIEDRICHS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 E OLD SETTLERS BLVD
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-2211
Mailing Address - Country:US
Mailing Address - Phone:512-238-7625
Mailing Address - Fax:512-238-6064
Practice Address - Street 1:111 E OLD SETTLERS BLVD
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2211
Practice Address - Country:US
Practice Address - Phone:512-238-7625
Practice Address - Fax:512-238-6064
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14123111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor