Provider Demographics
NPI:1174740971
Name:NERKOWSKI, FRANK ANTHONY
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:ANTHONY
Last Name:NERKOWSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3304 AUGUSTA BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-5301
Mailing Address - Country:US
Mailing Address - Phone:214-704-4301
Mailing Address - Fax:214-509-9776
Practice Address - Street 1:3304 AUGUSTA BLVD
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-5301
Practice Address - Country:US
Practice Address - Phone:214-705-4301
Practice Address - Fax:214-509-9776
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care