Provider Demographics
NPI:1629268081
Name:FRANKS, THOMAS T (CRNA)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:T
Last Name:FRANKS
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 SOUTH PINE STREET
Mailing Address - Street 2:
Mailing Address - City:DERIDDER
Mailing Address - State:LA
Mailing Address - Zip Code:70634
Mailing Address - Country:US
Mailing Address - Phone:337-462-7181
Mailing Address - Fax:337-462-7435
Practice Address - Street 1:600 SOUTH PINE STREET
Practice Address - Street 2:
Practice Address - City:DERIDDER
Practice Address - State:LA
Practice Address - Zip Code:70634
Practice Address - Country:US
Practice Address - Phone:337-462-7181
Practice Address - Fax:337-462-7435
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN089905163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse