Provider Demographics
NPI:1144216375
Name:FRANKLIN CHEN PA
Entity Type:Organization
Organization Name:FRANKLIN CHEN PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-338-0280
Mailing Address - Street 1:PO BOX 28388
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78755-8388
Mailing Address - Country:US
Mailing Address - Phone:512-338-0280
Mailing Address - Fax:
Practice Address - Street 1:3708 SPICEWOOD SPRINGS RD
Practice Address - Street 2:STE 218
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8938
Practice Address - Country:US
Practice Address - Phone:512-338-0280
Practice Address - Fax:512-338-0283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX079682302Medicaid
TX079682302Medicaid