Provider Demographics
NPI:1447217088
Name:QUATTROMANI, FRANK L (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:L
Last Name:QUATTROMANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8401 JACK FINNEY BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75402-3017
Mailing Address - Country:US
Mailing Address - Phone:800-945-2455
Mailing Address - Fax:
Practice Address - Street 1:602 INDIANA AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79415-3364
Practice Address - Country:US
Practice Address - Phone:806-775-8400
Practice Address - Fax:806-775-8412
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG17532085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX85980YOtherBCBS OF TEXAS
NMQ9206Medicaid
TX124098805Medicaid
TX124098803Medicaid
TX85980YOtherBCBS OF TEXAS
TX80217RMedicare ID - Type Unspecified
NMQ9206Medicaid
TX124098803Medicaid