Provider Demographics
NPI:1992705453
Name:LANZA, FRANK L (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:L
Last Name:LANZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7777 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 762
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1802
Mailing Address - Country:US
Mailing Address - Phone:713-977-9095
Mailing Address - Fax:713-779-5676
Practice Address - Street 1:7777 SOUTHWEST FWY
Practice Address - Street 2:SUITE 762
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1802
Practice Address - Country:US
Practice Address - Phone:713-977-9095
Practice Address - Fax:713-779-5676
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2009-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXD0201207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F8813OtherBLUE CROSS BLUE SHIELD TX
TX124578905Medicaid
TX100017208OtherRAILROAD MEDICARE
TX124578905Medicaid
TX8F8813OtherBLUE CROSS BLUE SHIELD TX