Provider Demographics
NPI:1669560744
Name:CHERPACK, FRANK J (DPM)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:J
Last Name:CHERPACK
Suffix:
Gender:M
Credentials:DPM
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 202734
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78720-2734
Mailing Address - Country:US
Mailing Address - Phone:512-343-8834
Mailing Address - Fax:512-343-8854
Practice Address - Street 1:8701 SHOAL CREEK BLVD
Practice Address - Street 2:STE 102
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-6864
Practice Address - Country:US
Practice Address - Phone:512-343-8834
Practice Address - Fax:512-343-8854
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1198213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00H50ROtherBCBS
TX092801202Medicaid
TX00H50RMedicare ID - Type Unspecified
U30375Medicare UPIN
TX092801202Medicaid