Individual
FRANK RAYMOND LONERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 MONTGOMERY, FORT WORTH, TX 76107-2553
(817) 852-8380
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G6851
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110453104
—
TX
05
—
110453105
—
TX
05
—
110453106
—
TX
01
—
8EF247
BCBS
TX
Enumeration date
01/26/2006
Last updated
06/20/2014
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