Provider Demographics
NPI:1124218748
Name:FRANKS, BRETT (OPA-C)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:
Last Name:FRANKS
Suffix:
Gender:M
Credentials:OPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 N CARROLL AVE
Mailing Address - Street 2:#2000
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-6604
Mailing Address - Country:US
Mailing Address - Phone:214-824-7744
Mailing Address - Fax:214-988-1118
Practice Address - Street 1:1015 N CARROLL AVE
Practice Address - Street 2:#2000
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-6604
Practice Address - Country:US
Practice Address - Phone:214-824-7744
Practice Address - Fax:214-988-1118
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY896363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical