Provider Demographics
NPI:1144229683
Name:PERRY, FRANKLIN D (MD)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:D
Last Name:PERRY
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 1:570 S EDMONDS LN
Mailing Address - Street 2:#110
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-3524
Mailing Address - Country:US
Mailing Address - Phone:972-221-9442
Mailing Address - Fax:972-353-3368
Practice Address - Street 1:570 S EDMONDS LN
Practice Address - Street 2:#110
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-3524
Practice Address - Country:US
Practice Address - Phone:972-221-9442
Practice Address - Fax:972-353-3368
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE7226174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC20431Medicare UPIN
TX00DP71Medicare ID - Type Unspecified