Provider Demographics
NPI:1508812074
Name:FRANKLIN, SCOTT DOUGLAS (DC)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:DOUGLAS
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:DC
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 803
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:TX
Mailing Address - Zip Code:75773-0803
Mailing Address - Country:US
Mailing Address - Phone:903-369-3240
Mailing Address - Fax:903-369-3241
Practice Address - Street 1:1125 W. LOOP 564
Practice Address - Street 2:SUITE 102
Practice Address - City:MINEOLA
Practice Address - State:TX
Practice Address - Zip Code:75773
Practice Address - Country:US
Practice Address - Phone:903-369-3240
Practice Address - Fax:903-369-3241
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH554-0299111N00000X
TX6430111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH05Y004574NH03OtherANTHEM BC/BS
U51736Medicare UPIN
NH05Y004574NH03OtherANTHEM BC/BS