Individual
BENNJAMIN DUANE FRONK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 WOODHEW DR STE 203, WACO, TX 76712-6679
(855) 876-7246
(855) 277-5070
Mailing address
PO BOX 208354, DALLAS, TX 75320-8354
(512) 485-7208
(844) 364-8678
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
P9344
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
P9344
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
P9344
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2L1390
TEXAS MEDICARE PTAN
TX
01
—
2L1394
TEXAS MEDICARE PTAN
TX
05
—
339607902
—
TX
Enumeration date
04/29/2010
Last updated
03/03/2023
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