Provider Demographics
NPI:1508139320
Name:V. FRANK CODY,M.D,,P.A.
Entity Type:Organization
Organization Name:V. FRANK CODY,M.D,,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VAYDOR
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:CODY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-750-0911
Mailing Address - Street 1:5956 SHERRY LN
Mailing Address - Street 2:SUITE 1819
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-8029
Mailing Address - Country:US
Mailing Address - Phone:214-750-0911
Mailing Address - Fax:214-692-7878
Practice Address - Street 1:5956 SHERRY LN
Practice Address - Street 2:SUITE 1819
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-8029
Practice Address - Country:US
Practice Address - Phone:214-750-0911
Practice Address - Fax:214-692-7878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD4073261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health