Lonergan, Frank Raymond
Lonergan, Frank Raymond is an individual health care provider with primary practice located at 855 Montgomery , Fort Worth TX 76107-2553. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lonergan, Frank Raymond can be contacted via phone (817) 852-8380.Contact Information
Primary practice address
855 Montgomery
Fort Worth TX 76107-2553
Phone: (817) 852-8380
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G6851 | Texas |
Profile Details
| NPI number | 1700856051 |
|---|---|
| LBN Legal business name | Lonergan, Frank Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jun 20th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700856051 | NPPES |
| Texas | MEDICAID | 110453106 | |
| Texas | Other | 8EF247 | |
| Texas | MEDICAID | 110453104 | |
| Texas | MEDICAID | 110453105 |
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