Healthcare Provider Details

I. General information

NPI: 1497956734
Provider Name (Legal Business Name): FRANK JOSEPH PONCE III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7219 FAIRMONT PKWY STE 180
PASADENA TX
77505-4611
US

IV. Provider business mailing address

4001 PRESTON AVE SUITE 110
PASADENA TX
77505-2069
US

V. Phone/Fax

Practice location:
  • Phone: 281-487-3443
  • Fax: 281-487-3461
Mailing address:
  • Phone: 281-249-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101244085
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberN3996
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: