Provider Demographics
NPI:1053313866
Name:FRANCE, JOHN EARL (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:EARL
Last Name:FRANCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:213 OAK RIDGE
Mailing Address - City:NOLANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76559-0429
Mailing Address - Country:US
Mailing Address - Phone:254-698-0999
Mailing Address - Fax:254-698-0999
Practice Address - Street 1:BUILDING 36010, DARNALL LOOP
Practice Address - Street 2:
Practice Address - City:FT. HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-287-0720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2018207Q00000X
KS0431691207Q00000X
NM20020298207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200366750AMedicaid
G43665Medicare UPIN
KS200366750AMedicaid