Provider Demographics
NPI:1144305764
Name:GREENBERG, FRANK ROLAND (DC)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:ROLAND
Last Name:GREENBERG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3132 MATLOCK RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-2910
Mailing Address - Country:US
Mailing Address - Phone:817-277-8811
Mailing Address - Fax:817-277-9492
Practice Address - Street 1:3132 MATLOCK RD
Practice Address - Street 2:SUITE 305
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2910
Practice Address - Country:US
Practice Address - Phone:817-277-8811
Practice Address - Fax:817-277-9492
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC6068111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU43918Medicare UPIN
TX605315Medicare ID - Type Unspecified