Darrell G Frost, DC
Individual provider Active NPI Chiropractor · Atlanta, TX
NPI 1902829013 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1902829013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC2881 (TX)
- Practice address
- 1001 West Main St
Atlanta, TX 75551 - Phone
- (903) 796-8255
- Fax
- (903) 796-6968
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC2881 | TX | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC2881 | TX | Yes |
Addresses
Primary practice location
1001 West Main St
Atlanta, TX 75551
Mailing address
1001 West Main St
Atlanta, TX 75551
Phone (903) 796-8255
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82921 | Other | AR | BCBS |
Other providers in Atlanta, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.