Individual
DR. FRANK ROBERT GENCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8245 PRECINCT LINE RD, SUITE 100, NORTH RICHLAND HILLS, TX 76180-1672
(817) 503-8800
(817) 503-8801
Mailing address
1104 JOHN MCCAIN RD, COLLEYVILLE, TX 76034-6315
(817) 503-8800
(817) 503-8801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J3478
TX
207R00000X
Internal Medicine Physician
J3478
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8W1460
BCBSTX PROVIDER ID
TX
01
—
J3478
MEDICAL LICENSE #
TX
Enumeration date
11/15/2006
Last updated
06/05/2017
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