1568562395 NPI number — ARIE FRANCO MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568562395 NPI number — ARIE FRANCO MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

FRANCO

Provider First Name:

ARIE

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1568562395

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

07/28/2022

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

PO BOX 650859

Provider Second Line Business Mailing Address:

DEPT 710

Provider Business Mailing Address City Name:

DALLAS

Provider Business Mailing Address State Name:

TX

Provider Business Mailing Address Postal Code:

75265-5503

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

409-747-6240

Provider Business Mailing Address Fax Number:

956-362-7510

Provider First Line Business Practice Location Address:

301 UNIVERSITY BLVD

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

GALVESTON

Provider Business Practice Location Address State Name:

TX

Provider Business Practice Location Address Postal Code:

77555-0004

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

409-772-2222

Provider Business Practice Location Address Fax Number:

706-721-9329

Provider Enumeration Date:

09/22/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 2085R0202X , with the licence number:  25276 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 2085P0229X , with the licence number: 25276 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 2085R0202X , with the licence number: S7047 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 062697 . This is a "MEDICAL LICENSE" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
• Identifier: CA345140 . This is a "MEDICARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
• Identifier: CA345141 . This is a "MEDICARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
• Identifier: P02215074 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
• Identifier: S7047 . This is a "LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
• Identifier: P02215088 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
• Identifier: CB317963 . This is a "MEDICARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
• Identifier: 7839026 . This is a "CIGNA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
• Identifier: CA345139 . This is a "MEDICARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".