Provider Demographics
NPI:1780618843
Name:FRANKLIN, GERALD MARCUS (MD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:MARCUS
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:948 GRUENE RD
Mailing Address - Street 2:SUITE120
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3919
Mailing Address - Country:US
Mailing Address - Phone:830-627-3777
Mailing Address - Fax:830-627-3778
Practice Address - Street 1:948 GRUENE RD
Practice Address - Street 2:SUITE120
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3919
Practice Address - Country:US
Practice Address - Phone:830-627-3777
Practice Address - Fax:830-627-3778
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6761207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000955523AMedicaid
04BDCKKMedicare ID - Type Unspecified
GA000955523AMedicaid