Provider Demographics
NPI:1043270085
Name:DZIDA, FRANKLIN J (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:J
Last Name:DZIDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5615 DEAUVILLE BLVD
Mailing Address - Street 2:STE 220
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79706
Mailing Address - Country:US
Mailing Address - Phone:432-686-0321
Mailing Address - Fax:432-686-0064
Practice Address - Street 1:5615 DEAUVILLE BLVD
Practice Address - Street 2:STE 220
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706
Practice Address - Country:US
Practice Address - Phone:432-686-0321
Practice Address - Fax:432-686-0664
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH2119207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0407355-05Medicaid
TX127986100OtherFIRST CARE
TX200042804OtherMEDICARE RAILROAD
TX4229388OtherAETNA
TX0074GUOtherBLUE CROSS BLUE SHIELD
TX040735502Medicaid
TX040735502Medicaid