Provider Demographics
NPI:1538483128
Name:METROPLEX VISITING PHYSICIANS
Entity Type:Organization
Organization Name:METROPLEX VISITING PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRAKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-549-8974
Mailing Address - Street 1:2501 E HEBRON PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4468
Mailing Address - Country:US
Mailing Address - Phone:214-549-8974
Mailing Address - Fax:
Practice Address - Street 1:2501 E HEBRON PKWY SUITE 100
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4468
Practice Address - Country:US
Practice Address - Phone:214-549-8974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-25
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3357207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty