Provider Demographics
NPI:1558634162
Name:MOORHEAD, FRANK ALBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:ALBERT
Last Name:MOORHEAD
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 1:23615 OAKLAND CV
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-7213
Mailing Address - Country:US
Mailing Address - Phone:830-980-7630
Mailing Address - Fax:
Practice Address - Street 1:23615 OAKLAND CV
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-7213
Practice Address - Country:US
Practice Address - Phone:830-980-7630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7468207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine