Provider Demographics
NPI:1720089048
Name:CUMMINGS, FREDERICK PIERCE (MD)
Entity Type:Individual
Prefix:
First Name:FREDERICK
Middle Name:PIERCE
Last Name:CUMMINGS
Suffix:
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 1:2665 SCRIPTURE STREET
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-3708
Mailing Address - Country:US
Mailing Address - Phone:940-387-8763
Mailing Address - Fax:940-535-5901
Practice Address - Street 1:2665 SCRIPTURE STREET
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-3708
Practice Address - Country:US
Practice Address - Phone:940-387-8763
Practice Address - Fax:940-535-5901
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2938207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX131530109OtherMEDICAID OTHER