Provider Demographics
NPI:1376540211
Name:FRANCO, HECTOR LASTRA (MD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:LASTRA
Last Name:FRANCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10500 VISTA DEL SOL DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-7949
Mailing Address - Country:US
Mailing Address - Phone:915-598-1959
Mailing Address - Fax:915-598-1986
Practice Address - Street 1:10500 VISTA DEL SOL DR
Practice Address - Street 2:SUITE C
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7949
Practice Address - Country:US
Practice Address - Phone:915-598-1959
Practice Address - Fax:915-598-1986
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF7757207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00ME96Medicare ID - Type Unspecified
TXC15709Medicare UPIN