Healthcare Provider Details

I. General information

NPI: 1275679292
Provider Name (Legal Business Name): WAYNE THOMAS FRANK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: THOMAS W FRANK M.D.

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 02/28/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USAMEDDAC 2480 LLEWELLYN AVE
FORT GEORGE G. MEADE MD
20755
US

IV. Provider business mailing address

5005 N PIEDRAS ST WILLIAM BEAUMONT ARMY MEDICAL CENTER
EL PASO TX
79920-5001
US

V. Phone/Fax

Practice location:
  • Phone: 410-278-5475
  • Fax: 915-569-1233
Mailing address:
  • Phone: 915-569-1386
  • Fax: 915-569-1233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License NumberMD049236L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: