Provider Demographics
NPI:1295939890
Name:BOATENG, FRANCHELLE CAESAR (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCHELLE
Middle Name:CAESAR
Last Name:BOATENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:FRANCHELLE
Other - Middle Name:LY RETTA
Other - Last Name:CAESAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11511 SHADOW CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7298
Mailing Address - Country:US
Mailing Address - Phone:713-442-0000
Mailing Address - Fax:
Practice Address - Street 1:10701 VINTAGE PRESERVE PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-2158
Practice Address - Country:US
Practice Address - Phone:713-442-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7888207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX195785404Medicaid
TX195785402Medicaid
TX195785403Medicaid
944599538OtherMYUTMB 944599538-COMMERCIAL NUMBER
TX195785404Medicaid
TX259564S2HMedicare PIN
TX259564S2FMedicare PIN