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Contact Information

PETER R DEFRANK, DPM
7709 ALTO CARO DR
DALLAS, TX75248-4303
 Phone: 214-866-5313
 Fax: 972-947-3976
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot

213ES0131X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PETER R DEFRANK · (Male)

NPI # 1629044144
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/24/2006
Last updated 03/03/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 0866
  • TX Medicaid 112216007
  • TX Medicaid 112216008
  • TX Medicaid 112216009
  • TX Medicaid 112216010
  • TX Other P01242887 RAILROAD MEDICARE
  • TX Other 75-2018765 TAX ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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