Provider Demographics
NPI:1063676021
Name:FRANKLIN, BARRY A
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:A
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 N 10TH ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3239
Mailing Address - Country:US
Mailing Address - Phone:956-661-9933
Mailing Address - Fax:956-661-9935
Practice Address - Street 1:6100 N 10TH ST
Practice Address - Street 2:SUITE H
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3239
Practice Address - Country:US
Practice Address - Phone:956-661-9933
Practice Address - Fax:956-661-9935
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2008-09-25
Deactivation Date:2008-08-08
Deactivation Code:
Reactivation Date:2008-09-25
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX184875602Medicaid