Individual provider Active NPI

Frank Lopez Colunga, MD

  • Emergency Medicine Physician
  • Conroe, TX
National Provider Identifier
1245264480
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G4929 Issued in TX
Practice address
3840 W Davis St
Conroe, TX 77304-1838
Phone
(936) 521-2630
NPI assigned
Jul 11, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G4929 TX Primary

Addresses

Primary practice location

3840 W Davis St
Conroe, TX 77304-1838

Mailing address

3840 W Davis St
Conroe, TX 77034-7724

Other practice location 1

2801 Franciscan Dr
Bryan, TX 77802-2544
Phone (979) 776-2568

Other identifiers 2

IdentifierTypeStateIssuer
8R6722OtherTXBCBS
122505405MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050624000121 TX Practitioner - Emergency MedicinePractitioner - Family Practice 5597700021 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Apr 30, 2019 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Apr 30, 2019 Accepting new patients
Truepartners Northwest Emergency Associates PLLC Emergency Medicine CurrentSince Aug 20, 2019 Accepting new patients
Level One Emergency Specialists LLC Emergency Medicine PastSince Aug 1, 2020 Accepting new patients
Singleton Associates PA Past Accepting new patients

Locations

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

705 E Felt St
Brownfield, TX 79316
Phone (806) 637-1955

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245264480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 W DAVIS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "770347724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 W DAVIS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041838",
            "telephone_number": "936-521-2630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Franciscan Dr",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778022544",
            "country_code": "US",
            "telephone_number": "979-776-2568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLUNGA",
        "first_name": "FRANK",
        "middle_name": "LOPEZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "G4929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8R6722",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122505405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.