Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Ronald Derald Fryar Jr., IDC

Individual provider Independent Duty Corpsman · NPI 1700090685

Mr. Ronald Derald Fryar Jr., IDC is an Independent Duty Corpsman in Ingleside, Texas. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1451 Lexington Dr
Ingleside, TX 78362
Phone: (361) 776-4077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1700090685
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedMay 9, 2007
Last updated in NPPESJuly 8, 2007

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