Basic Information
| Provider Information | |||||||||
| NPI: | 1528018934 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRANTZ | ||||||||
| FirstName: | ANNETTE | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | WHNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2428 DOVE LOOP RD | ||||||||
| Address2: | |||||||||
| City: | GRAPEVINE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760514953 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8174160447 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3537 S I-35 E | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | DENTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 762106800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9403812313 | ||||||||
| FaxNumber: | 9403815249 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2006 | ||||||||
| LastUpdateDate: | 01/30/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LW0102X | 647135 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health |
ID Information
| ID | Type | State | Issuer | Description | 139591519 | 05 | TX | MEDICAID |