Provider Demographics
NPI:1730100736
Name:THRIFT, ROLLIN LOUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ROLLIN
Middle Name:LOUIS
Last Name:THRIFT
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 1:8700 STONEBROOK PKWY UNIT 1956
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6099
Mailing Address - Country:US
Mailing Address - Phone:972-243-9600
Mailing Address - Fax:972-243-9601
Practice Address - Street 1:17304 PRESTON RD STE 1400
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5633
Practice Address - Country:US
Practice Address - Phone:972-934-3200
Practice Address - Fax:972-243-9601
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-22
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG0205207P00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU97847Medicare UPIN