Provider Demographics
NPI:1134513823
Name:FRANKS, BASIL H (LCDC)
Entity Type:Individual
Prefix:
First Name:BASIL
Middle Name:H
Last Name:FRANKS
Suffix:
Gender:M
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E MULBERRY AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-3023
Mailing Address - Country:US
Mailing Address - Phone:210-735-3822
Mailing Address - Fax:210-735-1908
Practice Address - Street 1:300 E MULBERRY AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-3023
Practice Address - Country:US
Practice Address - Phone:210-735-3822
Practice Address - Fax:210-735-1908
Is Sole Proprietor?:No
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10015101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)