Provider Demographics
NPI:1295739266
Name:THEILEN, FRANK W (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:W
Last Name:THEILEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:400 W IH 635 FWY
Mailing Address - Street 2:STE 360
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3707
Mailing Address - Country:US
Mailing Address - Phone:972-402-8404
Mailing Address - Fax:972-402-9401
Practice Address - Street 1:400 W IH 635 FWY
Practice Address - Street 2:STE 360
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-3764
Practice Address - Country:US
Practice Address - Phone:972-402-8404
Practice Address - Fax:972-402-9401
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2008-01-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG3844207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB26950Medicare UPIN
TX81362BMedicare PIN