Basic Information
| Provider Information | |||||||||
| NPI: | 1568562395 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FRANCO | ||||||||
| FirstName: | ARIE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 650859 | ||||||||
| Address2: | DEPT 710 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752655503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4097476240 | ||||||||
| FaxNumber: | 9563627510 | ||||||||
| Practice Location | |||||||||
| Address1: | 301 UNIVERSITY BLVD | ||||||||
| Address2: | |||||||||
| City: | GALVESTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775550004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4097722222 | ||||||||
| FaxNumber: | 7067219329 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/22/2006 | ||||||||
| LastUpdateDate: | 07/28/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | 25276 | OK | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085P0229X | 25276 | OK | N | Allopathic & Osteopathic Physicians | Radiology | Pediatric Radiology | 2085R0202X | S7047 | TX | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 062697 | 01 | GA | MEDICAL LICENSE | OTHER | CA345140 | 01 | CA | MEDICARE | OTHER | CA345141 | 01 | CA | MEDICARE | OTHER | P02215074 | 01 | CA | RAILROAD MEDICARE | OTHER | S7047 | 01 | TX | LICENSE | OTHER | P02215088 | 01 | CA | RAILROAD MEDICARE | OTHER | CB317963 | 01 | CA | MEDICARE | OTHER | 7839026 | 01 | CA | CIGNA | OTHER | CA345139 | 01 | CA | MEDICARE | OTHER |