Provider Demographics
NPI:1265849442
Name:PONCE HERRERA, FRANKLIN DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:DANIEL
Last Name:PONCE HERRERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:409 LINDBERG AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2921
Mailing Address - Country:US
Mailing Address - Phone:956-682-1508
Mailing Address - Fax:956-682-0551
Practice Address - Street 1:409 LINDBERG AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2921
Practice Address - Country:US
Practice Address - Phone:956-682-1508
Practice Address - Fax:956-682-0551
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-19
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS0776207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX397214302Medicaid
TX8LK837OtherBCBS
TX804672OtherMEDICARE
TXP02248975OtherRR MEDICARE