Provider Demographics
NPI:1477739316
Name:LANKFORD, FREDERICK B JR (RCS, RVS)
Entity Type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:B
Last Name:LANKFORD
Suffix:JR
Gender:M
Credentials:RCS, RVS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 BELLMEADE DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-3505
Mailing Address - Country:US
Mailing Address - Phone:972-804-9594
Mailing Address - Fax:972-636-5784
Practice Address - Street 1:306 BELLMEADE DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-3505
Practice Address - Country:US
Practice Address - Phone:972-804-9594
Practice Address - Fax:972-636-5784
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography