Frontier in Healthcare

NPI #1588213979 in Southlake, Texas

Provider Information

NPI Number: 1588213979
Entity Type: Organization
Organization Name: Frontier in Healthcare
Primary Specialty: Specialist
Enumeration Date: Sep 9, 2019
Last Updated: Sep 9, 2019

Practice Location

Address: 2805 JOHNSON RD
City: Southlake
State: Texas
ZIP Code: 76092-5619
Phone: (312) 451-5976

Authorized Official

Name: MRS. NICOLE CLARKE-SMITH
Title: MANAGEMENT
Phone: (888) 391-1117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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