Provider Demographics
NPI:1831375781
Name:DEFRANCE, INC.
Entity type:Organization
Organization Name:DEFRANCE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DEFRANCE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:432-550-2273
Mailing Address - Street 1:3110 E. UNIVERSITY STE. B
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762
Mailing Address - Country:US
Mailing Address - Phone:432-550-2273
Mailing Address - Fax:432-272-0688
Practice Address - Street 1:3110 E UNIVERSITY BLVD STE B
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762-6955
Practice Address - Country:US
Practice Address - Phone:432-550-2273
Practice Address - Fax:432-272-0688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU05752Medicare UPIN
TX605550Medicare PIN