Provider Demographics
NPI:1710034475
Name:ADAMS, FRANK
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:ADAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:FRANK
Other - Middle Name:
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:904 W MONTGOMERY ST
Mailing Address - Street 2:SUITE 4-159
Mailing Address - City:WILLIS
Mailing Address - State:TX
Mailing Address - Zip Code:77378-8832
Mailing Address - Country:US
Mailing Address - Phone:936-689-7106
Mailing Address - Fax:936-856-7106
Practice Address - Street 1:7198 EDGEWATER DR
Practice Address - Street 2:
Practice Address - City:WILLIS
Practice Address - State:TX
Practice Address - Zip Code:77318-9103
Practice Address - Country:US
Practice Address - Phone:936-689-7106
Practice Address - Fax:936-856-7106
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF83852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE18058Medicare UPIN
TX612239Medicare ID - Type Unspecified