Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | F3439 | TX |
NPI | 1033116470 |
---|---|
Provider Name | Dr. Frank Peter Cundari |
First Address | Grand Prairie, TX 75051-1058 |
Second Address | Grand Prairie, TX 75051-1058 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A66074 | (02) | TX |