Provider Demographics
NPI:1518048578
Name:FRISCO FS ENTERPRISES
Entity Type:Organization
Organization Name:FRISCO FS ENTERPRISES
Other - Org Name:FOOT SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:HARVEY
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:CPED
Authorized Official - Phone:214-547-9519
Mailing Address - Street 1:1328 W MCDERMOTT DR
Mailing Address - Street 2:STE 218
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3022
Mailing Address - Country:US
Mailing Address - Phone:214-547-9519
Mailing Address - Fax:214-495-7098
Practice Address - Street 1:1328 W MCDERMOTT DR
Practice Address - Street 2:STE 218
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-3022
Practice Address - Country:US
Practice Address - Phone:214-547-9519
Practice Address - Fax:214-495-7098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5214220001Medicare ID - Type UnspecifiedDIABETIC FOOTWEAR