Provider Demographics
NPI:1417967951
Name:FRANKLIN, GEORGE L (DO)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:L
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2882 HOLLY RD
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78415-4106
Mailing Address - Country:US
Mailing Address - Phone:928-669-7300
Mailing Address - Fax:928-669-7417
Practice Address - Street 1:2882 HOLLY RD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78415-4106
Practice Address - Country:US
Practice Address - Phone:928-927-8747
Practice Address - Fax:928-927-8748
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3110207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ345688Medicaid
AZ105860Medicare PIN
AZ113031Medicare PIN
AZ1176490003Medicare NSC
AZ345688Medicaid
AZZP03006701Medicare PIN