Provider Demographics
NPI:1154656056
Name:HAYDEN H FRANKS MD PA
Entity Type:Organization
Organization Name:HAYDEN H FRANKS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAYDEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:FRANKS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-792-2777
Mailing Address - Street 1:2011 MOORES LN
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-1841
Mailing Address - Country:US
Mailing Address - Phone:903-792-2777
Mailing Address - Fax:903-794-6728
Practice Address - Street 1:2011 MOORES LN
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-1841
Practice Address - Country:US
Practice Address - Phone:903-792-2777
Practice Address - Fax:903-794-6728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-09
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3730207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX210894601Medicaid