Provider Demographics
NPI:1821022096
Name:FRITSCH, EDWARD C JR (DC)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:C
Last Name:FRITSCH
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:16920 PARK ROW
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-4920
Mailing Address - Country:US
Mailing Address - Phone:713-425-8122
Mailing Address - Fax:866-903-1444
Practice Address - Street 1:2600 GESSNER DR
Practice Address - Street 2:STE 150
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-3839
Practice Address - Country:US
Practice Address - Phone:713-425-8119
Practice Address - Fax:713-425-8182
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5076111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU02275Medicare UPIN