Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208C00000X | Colorectal Surgeon | J1663 | TX |
NPI | 1316026412 |
---|---|
Provider Name | Dr. Edward R. Franko |
First Address | Dallas, TX 75246-2029 |
Second Address | Dallas, TX 75246-2029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 14/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0433989-01 | (05) | TX |
F23490 | (02) | TX |