Healthcare Provider Details

I. General information

NPI: 1285885350
Provider Name (Legal Business Name): FRANKIE BETH FIKE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2008
Last Update Date: 11/09/2021
Certification Date: 11/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5323 HARRY HINES BLVD
DALLAS TX
75390-7208
US

IV. Provider business mailing address

PO BOX 845347
DALLAS TX
75284-5347
US

V. Phone/Fax

Practice location:
  • Phone: 214-456-2086
  • Fax: 214-456-6320
Mailing address:
  • Phone: 214-456-2086
  • Fax: 214-456-6320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberQ4950
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberQ4950
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: