Provider Demographics
NPI:1033246103
Name:FRANK BOYD
Entity Type:Organization
Organization Name:FRANK BOYD
Other - Org Name:INDEPENDENT PROVIDER
Other - Org Type:Other Name
Authorized Official - Title/Position:FAMILY MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:979-574-5050
Mailing Address - Street 1:4607 COLONIAL CIR
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-8921
Mailing Address - Country:US
Mailing Address - Phone:979-574-5050
Mailing Address - Fax:
Practice Address - Street 1:4607 COLONIAL CIR
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-8921
Practice Address - Country:US
Practice Address - Phone:979-574-5050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5645261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health