Provider Demographics
NPI:1659058246
Name:FRINZELL, TRAVIS
Entity Type:Individual
Prefix:MR
First Name:TRAVIS
Middle Name:
Last Name:FRINZELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 N BELL ST
Mailing Address - Street 2:
Mailing Address - City:FOREMAN
Mailing Address - State:AR
Mailing Address - Zip Code:71836-8927
Mailing Address - Country:US
Mailing Address - Phone:903-824-6211
Mailing Address - Fax:
Practice Address - Street 1:717 N BELL ST
Practice Address - Street 2:
Practice Address - City:FOREMAN
Practice Address - State:AR
Practice Address - Zip Code:71836-8927
Practice Address - Country:US
Practice Address - Phone:903-824-6211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No171W00000XOther Service ProvidersContractor