Provider Demographics
NPI:1336302751
Name:FRANK, TINA RECHELLE
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:RECHELLE
Last Name:FRANK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 14397
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77221-4397
Mailing Address - Country:US
Mailing Address - Phone:281-203-9688
Mailing Address - Fax:281-332-1459
Practice Address - Street 1:1908 EDINBURG AVE
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-4943
Practice Address - Country:US
Practice Address - Phone:281-203-9688
Practice Address - Fax:281-332-1459
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator