Provider Demographics
NPI:1790702637
Name:NFR MEDICAL, PA
Entity Type:Organization
Organization Name:NFR MEDICAL, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDU
Authorized Official - Middle Name:
Authorized Official - Last Name:KADRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-946-6466
Mailing Address - Street 1:PO BOX 1846
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78297-1846
Mailing Address - Country:US
Mailing Address - Phone:210-685-1466
Mailing Address - Fax:210-541-0438
Practice Address - Street 1:3338 OAKWELL CT
Practice Address - Street 2:SUITE 104
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-3086
Practice Address - Country:US
Practice Address - Phone:210-946-6466
Practice Address - Fax:210-541-0438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00243TMedicare ID - Type Unspecified