NPI age
19 years
Enumerated 2007-05-09
● Active
Type 1 · Individual
MR. Ronald Derald Fryar JR., IDC
Fryar is 1 of 11 military health care provider providers in Ingleside and 1 of 70 in Texas.
Primary specialty
Military Health Care Provider
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 70 active military health care provider providers in Texas.
NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
2% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Practice location
1451 Lexington Drive
Ingleside, TX 78362
Mailing address
1130 La Mirada
Portland, TX 783744133
Specialties
-
Military Health Care Provider PrimaryA Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.