Provider Demographics
NPI:1043548738
Name:FRANKLIN J. DZIDA, MD, PA
Entity Type:Organization
Organization Name:FRANKLIN J. DZIDA, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:DZIDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:432-685-8213
Mailing Address - Street 1:2402 W WALL ST
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-6316
Mailing Address - Country:US
Mailing Address - Phone:432-685-8213
Mailing Address - Fax:432-685-8229
Practice Address - Street 1:2402 W WALL ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-6316
Practice Address - Country:US
Practice Address - Phone:432-685-8213
Practice Address - Fax:432-685-8229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2119207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty