Provider Demographics
NPI:1306948542
Name:SETZLER, FRANK DWAYNE JR (DO)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:DWAYNE
Last Name:SETZLER
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:967 PRUITT PL
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-1153
Mailing Address - Country:US
Mailing Address - Phone:903-266-1599
Mailing Address - Fax:903-266-1589
Practice Address - Street 1:967 PRUITT PL
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-1153
Practice Address - Country:US
Practice Address - Phone:903-266-1599
Practice Address - Fax:903-266-1589
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1990208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
A67637Medicare UPIN
TX8K6110Medicare PIN