Provider Demographics
NPI:1093742470
Name:FRYE, EMILY FARMER (MD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:FARMER
Last Name:FRYE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:FARMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5750 NORTHWEST PKWY STE 111
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3468
Mailing Address - Country:US
Mailing Address - Phone:210-348-4040
Mailing Address - Fax:210-348-4366
Practice Address - Street 1:5750 NORTHWEST PKWY STE 111
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3468
Practice Address - Country:US
Practice Address - Phone:210-348-4040
Practice Address - Fax:210-348-4366
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1579207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB153526OtherWELLMED MEDICAL GROUP PA
TX159631402Medicaid
TX1596314-04OtherWELLMED MEDICAID
TX159631403Medicaid
TX8J0924Medicare PIN
TXB153526OtherWELLMED MEDICAL GROUP PA