Basic Information
| Provider Information | |||||||||
| NPI: | 1811985328 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRANKLIN | ||||||||
| FirstName: | MARK | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7401 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770304509 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137992300 | ||||||||
| FaxNumber: | 7137943380 | ||||||||
| Practice Location | |||||||||
| Address1: | 4201 GARTH RD | ||||||||
| Address2: | SUITE 107 | ||||||||
| City: | BAYTOWN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775213167 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814277400 | ||||||||
| FaxNumber: | 2814278750 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/10/2005 | ||||||||
| LastUpdateDate: | 03/11/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | G3368 | TX | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 114454503 | 05 | TX | MEDICAID | 616771101 | 01 | US DEPT OF LABOR | OTHER | P01255257 | 01 | TX | MEDICARE RR | OTHER | 114454505 | 05 | TX | MEDICAID | 114454506 | 05 | TX | MEDICAID | 1811985328 | 01 | TX | BLUE CROSS BLUE SHIELD | OTHER | 601771109 | 01 | US DEPT OF LABOR | OTHER | 616771105 | 01 | US DEPT OF LABOR | OTHER | P01079751 | 01 | TX | RR MEDICARE | OTHER | 616771110 | 01 | US DEPT OF LABOR | OTHER | P01070954 | 01 | TX | RR MEDICARE | OTHER |