Provider Demographics
NPI:1144746926
Name:ASH, FRANKIE RUDOCK JR (LVN)
Entity Type:Individual
Prefix:
First Name:FRANKIE
Middle Name:RUDOCK
Last Name:ASH
Suffix:JR
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 KATE LOWE RD
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77351-4156
Mailing Address - Country:US
Mailing Address - Phone:758-477-4360
Mailing Address - Fax:
Practice Address - Street 1:2308 KATE LOWE RD
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77351-4156
Practice Address - Country:US
Practice Address - Phone:758-477-4360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX308224164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse