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NPI 1639405830

NPI 1639405830 : FRANK T FELTS, MD, FACS, PA : THE COLONY, TX

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General NPI Number Information
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    NPI Number           |    1639405830
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRANK T FELTS, MD, FACS, PA 
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Dates
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    Enumeration Date     |    10/22/2009
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    Last Update Date     |    10/22/2009
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Provider Practice Location Address
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    Address Line         |    3716 STANDRIDGE DR STE 101 
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    City                 |    THE COLONY
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    State                |    TX
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    Zip                  |    75056-4146
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    Country              |    US
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    Telephone            |    972-239-5722
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    Fax                  |    972-239-5799
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Provider Business Mailing Address
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    Address Line         |    3716 STANDRIDGE DR STE 101 
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    City                 |    THE COLONY
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    State                |    TX
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    Zip                  |    75056-4146
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    Country              |    US
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    Telephone            |    972-239-5722
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    Fax                  |    972-239-5799
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |    DR. FRANK TERRELL FELTS 
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    Credential           |    M.D
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    Telephone            |    972-239-5722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    G5037
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    License Number State |    TX
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