Provider Demographics
NPI:1225176811
Name:FRANKLIN, SCOTT WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:WILLIAM
Last Name:FRANKLIN
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 1:3201 S AUSTIN AVE
Mailing Address - Street 2:SUITE 370
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-7545
Mailing Address - Country:US
Mailing Address - Phone:512-869-0604
Mailing Address - Fax:512-868-5936
Practice Address - Street 1:3201 S AUSTIN AVE
Practice Address - Street 2:SUITE 370
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-7545
Practice Address - Country:US
Practice Address - Phone:512-869-0604
Practice Address - Fax:512-868-5936
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3969207Y00000X, 207YX0602X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154067601Medicaid
TX5978578OtherSWF AETNA
TX8G8700OtherSWF BCBS
TX0078313OtherSWF BCBS BLUELINK
TX154067601Medicaid
TX8A0804Medicare ID - Type UnspecifiedSWF MEDICARE