Provider Demographics
NPI:1770142044
Name:FRANKLIN, QUANAH SKY (PA-C)
Entity type:Individual
Prefix:
First Name:QUANAH
Middle Name:SKY
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4150 N COLLINS ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76005-4547
Mailing Address - Country:US
Mailing Address - Phone:817-337-6604
Mailing Address - Fax:817-337-6866
Practice Address - Street 1:4150 N COLLINS ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76005-4547
Practice Address - Country:US
Practice Address - Phone:817-337-6044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-11
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA12740363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant