Provider Demographics
NPI:1427096536
Name:FRANKUM, WILBUR MAX (MD)
Entity type:Individual
Prefix:DR
First Name:WILBUR
Middle Name:MAX
Last Name:FRANKUM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5664 SOUTHERN HILLS DRIVE
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034
Mailing Address - Country:US
Mailing Address - Phone:214-478-3810
Mailing Address - Fax:866-703-2611
Practice Address - Street 1:2709 HOSPITAL BLVD.
Practice Address - Street 2:TEXAS GENERAL HOSPITAL
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051
Practice Address - Country:US
Practice Address - Phone:469-999-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA08921R207P00000X
TXH5552207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4J270CP76Medicare ID - Type Unspecified
TXC98760Medicare UPIN
LAC98760Medicare UPIN