=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912016098
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FRANK A. ENGLISH, M.D., P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/30/2006
-----------------------------------------------------
Last Update Date | 09/22/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 313 W. COUNTRY CLUB RD
-----------------------------------------------------
City | ROSWELL
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 88201
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 575-622-1761
-----------------------------------------------------
Fax | 575-622-3005
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 313 W. COUNTRY CLUB RD
-----------------------------------------------------
City | ROSWELL
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 88201
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 575-622-1761
-----------------------------------------------------
Fax | 575-622-3005
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | NANCY HUNTER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 575-622-1761
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 3-A-446
-----------------------------------------------------
License Number State | NM
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207K00000X
-----------------------------------------------------
Taxonomy Name | Allergy & Immunology Physician
-----------------------------------------------------
License Number | 3-A-446
-----------------------------------------------------
License Number State | NM
-----------------------------------------------------