Provider Demographics
NPI:1245200724
Name:CHARLES M FRANZ, D. O.
Entity Type:Organization
Organization Name:CHARLES M FRANZ, D. O.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:FRANZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:409-727-4080
Mailing Address - Street 1:876 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:PORT NECHES
Mailing Address - State:TX
Mailing Address - Zip Code:77651-3712
Mailing Address - Country:US
Mailing Address - Phone:409-727-4080
Mailing Address - Fax:409-727-3838
Practice Address - Street 1:876 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:PORT NECHES
Practice Address - State:TX
Practice Address - Zip Code:77651-3712
Practice Address - Country:US
Practice Address - Phone:409-727-4080
Practice Address - Fax:409-727-3838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CH2694OtherRAILROAD MEDICARE
0032EMOtherBLUE CROSS/BLUE SHIELD
CH2694OtherRAILROAD MEDICARE