Provider Demographics
NPI:1609010396
Name:FRANCO, ARACELI
Entity Type:Individual
Prefix:MRS
First Name:ARACELI
Middle Name:
Last Name:FRANCO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 150216
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78715-0216
Mailing Address - Country:US
Mailing Address - Phone:512-371-3701
Mailing Address - Fax:512-371-3708
Practice Address - Street 1:1509 OLD WEST 38TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-6389
Practice Address - Country:US
Practice Address - Phone:512-371-3701
Practice Address - Fax:512-371-3708
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX717568OtherTEXAS DEPARMENT OF LICENSING AND REGULATION