Provider Demographics
NPI:1952504649
Name:CAFFEY, FRANCES JO MICHELE (CPHT)
Entity Type:Individual
Prefix:
First Name:FRANCES JO
Middle Name:MICHELE
Last Name:CAFFEY
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:C
Other - Last Name:CAFFEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CPHT
Mailing Address - Street 1:4707 CRESTMONT CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-1013
Mailing Address - Country:US
Mailing Address - Phone:817-478-2060
Mailing Address - Fax:
Practice Address - Street 1:1430 REGAL ROW
Practice Address - Street 2:SUITE 340
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-3625
Practice Address - Country:US
Practice Address - Phone:214-879-0202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX135605183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician