Provider Demographics
NPI:1477550317
Name:HALE, FRIEDA SUE (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRIEDA
Middle Name:SUE
Last Name:HALE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3944 FM 1960 RD W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3521
Mailing Address - Country:US
Mailing Address - Phone:281-580-0770
Mailing Address - Fax:281-580-6952
Practice Address - Street 1:3944 FM 1960 RD W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3521
Practice Address - Country:US
Practice Address - Phone:281-580-0770
Practice Address - Fax:281-580-6952
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice