Provider Demographics
NPI:1376590299
Name:MEDRANO, FRANCISCO DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:DANIEL
Last Name:MEDRANO
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 1:23960 KATY FWY STE 140
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0892
Mailing Address - Country:US
Mailing Address - Phone:281-505-6760
Mailing Address - Fax:281-505-6761
Practice Address - Street 1:23960 KATY FWY STE 140
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0892
Practice Address - Country:US
Practice Address - Phone:281-505-6760
Practice Address - Fax:281-505-6761
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0821207RH0002X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX173365103Medicaid
TX8E0567Medicare PIN
TX173365103Medicaid