Provider Demographics
NPI:1457362295
Name:LASTOCZY, FRANK M (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:M
Last Name:LASTOCZY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0853
Mailing Address - Country:US
Mailing Address - Phone:972-233-1999
Mailing Address - Fax:972-233-3666
Practice Address - Street 1:12222 MERIT DR STE 600
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-3294
Practice Address - Country:US
Practice Address - Phone:972-715-5000
Practice Address - Fax:972-715-9976
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2022-10-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK3294207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX042748602Medicaid
TX8EQ089OtherBLUE CROSS BLUE SHIELD
TXP01441241OtherRR MEDICARE
TXG47247Medicare UPIN
TXP01441241OtherRR MEDICARE