Provider Demographics
NPI:1750969937
Name:TRYON, FRANCES
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:TRYON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:564 S APPENZELL LN
Mailing Address - Street 2:
Mailing Address - City:MIDWAY
Mailing Address - State:UT
Mailing Address - Zip Code:84049-4505
Mailing Address - Country:US
Mailing Address - Phone:214-906-2695
Mailing Address - Fax:
Practice Address - Street 1:564 S APPENZELL LN
Practice Address - Street 2:
Practice Address - City:MIDWAY
Practice Address - State:UT
Practice Address - Zip Code:84049-4505
Practice Address - Country:US
Practice Address - Phone:214-906-2695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT116870-0701174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist