Provider Demographics
NPI:1043649270
Name:CALVIN, FRANK CECIL
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:CECIL
Last Name:CALVIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:FRANK
Other - Middle Name:C
Other - Last Name:CALVIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LADC
Mailing Address - Street 1:8617 HONEYLOCUST DR
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:OK
Mailing Address - Zip Code:73084-2115
Mailing Address - Country:US
Mailing Address - Phone:405-326-7721
Mailing Address - Fax:
Practice Address - Street 1:8617 HONEYLOCUST DR
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:OK
Practice Address - Zip Code:73084-2115
Practice Address - Country:US
Practice Address - Phone:405-326-7721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)