Provider Demographics
NPI:1023646908
Name:CANTIERI, FRANK BRIAN (DO)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:BRIAN
Last Name:CANTIERI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6257 FM 2642 BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:ROYSE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75189-3224
Mailing Address - Country:US
Mailing Address - Phone:469-800-3670
Mailing Address - Fax:
Practice Address - Street 1:6257 FM 2642 BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ROYSE CITY
Practice Address - State:TX
Practice Address - Zip Code:75189-3224
Practice Address - Country:US
Practice Address - Phone:469-800-3670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-27
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU3809207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine