Provider Demographics
NPI:1770633216
Name:THEARD, FRANZ C (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANZ
Middle Name:C
Last Name:THEARD
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 1:1201 E SCHUSTER AVE STE 2B
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4675
Mailing Address - Country:US
Mailing Address - Phone:915-533-8205
Mailing Address - Fax:915-533-1128
Practice Address - Street 1:1201 E SCHUSTER AVE STE 2B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4675
Practice Address - Country:US
Practice Address - Phone:915-533-8205
Practice Address - Fax:915-533-1128
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6332207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133825305Medicaid
TX00BU66Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
TXB26949Medicare UPIN