MEDICARE: FRANTZ MORENCY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor

General Provider Information

NPI Number	:	1699127274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANTZ MORENCY

Provider Business Mailing Address
First Line	:	693 E ROYAL LN # 1121
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75039
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	693 E ROYAL LN APT 1121
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75039-3557
Country	:	US
Telephone Number	:	404-924-0167
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2016
Last Update Date	:	07/07/2016

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Directions to “ FRANTZ MORENCY ” Practice Location

Language	Start Address	Practice Location

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