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Individual

DR. PETER R DEFRANK

Active
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Individual

DR. PETER R DEFRANK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0866
TX
213ES0131X
Foot Surgery Podiatrist
Primary
0866
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112216007
TX
05
112216008
TX
05
112216009
TX
05
112216010
TX
01
75-2018765
TAX ID
TX
01
P01242887
RAILROAD MEDICARE
TX
Enumeration date
02/24/2006
Last updated
03/03/2015
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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