Healthcare Provider Details

I. General information

NPI: 1922093731
Provider Name (Legal Business Name): FRANK B PARKS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2005
Last Update Date: 05/22/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6640 S 76TH EAST AVE
TULSA OK
74133-1835
US

IV. Provider business mailing address

PO BOX 457
MEEKER OK
74855
US

V. Phone/Fax

Practice location:
  • Phone: 918-629-3403
  • Fax:
Mailing address:
  • Phone: 918-629-3403
  • Fax: 364-202-9191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MB07883700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number5557
License Number StateAK
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA1292-04
License Number StateNM
# 4
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2005015560
License Number StateMO
# 5
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0531271
License Number StateKS
# 6
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2250
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: