Provider Demographics
NPI:1518978121
Name:FRAME, DONALD CLARKE (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:CLARKE
Last Name:FRAME
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 1:3600 FM 1488 RD
Mailing Address - Street 2:#120-292
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3817
Mailing Address - Country:US
Mailing Address - Phone:210-416-7443
Mailing Address - Fax:210-922-8350
Practice Address - Street 1:3600 FM 1488 RD
Practice Address - Street 2:SUITE 120-292
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-3817
Practice Address - Country:US
Practice Address - Phone:210-922-8346
Practice Address - Fax:210-922-8350
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1043202K00000X, 207P00000X, 2083P0011X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8P1790OtherBCBS
TX075360004Medicaid
TX075360004Medicaid
TX8P1790OtherBCBS
TXP00140641Medicare PIN
TXD34567Medicare UPIN