Provider Demographics
NPI:1134250111
Name:FRANCO, ROBERT WAYNE (ATC, LAT)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:WAYNE
Last Name:FRANCO
Suffix:
Gender:M
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3108 37TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79413-2335
Mailing Address - Country:US
Mailing Address - Phone:806-795-9294
Mailing Address - Fax:806-763-3216
Practice Address - Street 1:3501 50TH ST
Practice Address - Street 2:SUITE 124
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-4000
Practice Address - Country:US
Practice Address - Phone:806-763-3024
Practice Address - Fax:806-763-3216
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT24002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer