Provider Demographics
NPI:1790963817
Name:FRANKLIN CLINIC LP
Entity Type:Organization
Organization Name:FRANKLIN CLINIC LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-792-5800
Mailing Address - Street 1:PO BOX 294777
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78029-4777
Mailing Address - Country:US
Mailing Address - Phone:830-792-5800
Mailing Address - Fax:830-792-5848
Practice Address - Street 1:723 HILL COUNTRY DR STE C
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-6043
Practice Address - Country:US
Practice Address - Phone:830-792-5800
Practice Address - Fax:830-792-5848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2024-01-08
Deactivation Date:2023-12-15
Deactivation Code:
Reactivation Date:2024-01-08
Provider Licenses
StateLicense IDTaxonomies
TXK5937207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0073DUOtherBCBS
TX00397RMedicare PIN
TX0073DUOtherBCBS