Provider Demographics
NPI:1033116470
Name:CUNDARI, FRANK PETER (DO)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:PETER
Last Name:CUNDARI
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:647 S GREAT SOUTHWEST PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-1058
Mailing Address - Country:US
Mailing Address - Phone:972-647-8835
Mailing Address - Fax:972-641-6319
Practice Address - Street 1:647 S GREAT SOUTHWEST PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-1058
Practice Address - Country:US
Practice Address - Phone:972-647-8835
Practice Address - Fax:972-641-6319
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-30
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TXF3439207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83V450Medicare ID - Type Unspecified
TXA66074Medicare UPIN