Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 20816 | TX |
NPI | 1073574760 |
---|---|
Provider Name | Pedro F Franco |
First Address | Irving, TX 75038-6117 |
Second Address | Irving, TX 75038-6117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 11/04/2008 |