Provider Demographics
NPI:1013345685
Name:MADDEN, FRANK EARL SR
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:EARL
Last Name:MADDEN
Suffix:SR
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 1:4416 E. HUNTERS GLEN ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38128
Mailing Address - Country:US
Mailing Address - Phone:901-210-2725
Mailing Address - Fax:901-236-7606
Practice Address - Street 1:4416 E. HUNTERS GLEN ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38128
Practice Address - Country:US
Practice Address - Phone:901-210-2500
Practice Address - Fax:901-236-7606
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-17
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)