Provider Demographics
NPI:1902468796
Name:EBAI, FRANK BERNARD
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:BERNARD
Last Name:EBAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 I 30 STE 230
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-2601
Mailing Address - Country:US
Mailing Address - Phone:214-432-7273
Mailing Address - Fax:214-432-7278
Practice Address - Street 1:3400 I 30 STE 230
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-2601
Practice Address - Country:US
Practice Address - Phone:214-432-7273
Practice Address - Fax:214-432-7278
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-02
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT8807207R00000X
PAMT219432207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine