Provider Demographics
NPI:1518950823
Name:MOIX, FRANK MARTIN JR (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:MARTIN
Last Name:MOIX
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MARTIN
Other - Middle Name:
Other - Last Name:MOIX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2200 ADA AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-4985
Mailing Address - Country:US
Mailing Address - Phone:501-932-0282
Mailing Address - Fax:501-932-0284
Practice Address - Street 1:2200 ADA AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-4985
Practice Address - Country:US
Practice Address - Phone:501-932-0282
Practice Address - Fax:501-932-0284
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE1456207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR148003001Medicaid
0007179369OtherAETNA
AR5F121OtherBLUE CROSS
0007179369OtherAETNA
AR5M181F121Medicare PIN