Provider Demographics
NPI:1336180066
Name:SPLANN, FRANK FREEMAN JR (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:FREEMAN
Last Name:SPLANN
Suffix:JR
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:PO BOX 678440
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-8440
Mailing Address - Country:US
Mailing Address - Phone:972-276-6191
Mailing Address - Fax:972-494-3712
Practice Address - Street 1:2241 PEGGY LN
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-5709
Practice Address - Country:US
Practice Address - Phone:972-276-6191
Practice Address - Fax:972-494-3712
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD5845208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX099522703Medicaid
TX8G2626Medicare PIN
TXC22132Medicare UPIN
TX099522703Medicaid