Provider Demographics
NPI:1902245129
Name:FRONTIER FAMILY HEALTH INC
Entity Type:Organization
Organization Name:FRONTIER FAMILY HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STALDER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:972-442-4097
Mailing Address - Street 1:7275 MOSS RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:TX
Mailing Address - Zip Code:75002-7040
Mailing Address - Country:US
Mailing Address - Phone:972-442-4097
Mailing Address - Fax:
Practice Address - Street 1:910 W UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-4827
Practice Address - Country:US
Practice Address - Phone:972-542-1205
Practice Address - Fax:866-433-1632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-20
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty