MEDICARE: JAMES L FRANKLIN CST-FA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZS0410X	Surgical Technologist	073845	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	073845	OTHER	TX	SURGICAL ASST LICENSE

General Provider Information

NPI Number	:	1447235098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES L FRANKLIN CST-FA

Provider Business Mailing Address
First Line	:	714 FM 1960 RD W
Second Line	:	SUITE 206
City	:	HOUSTON
State	:	TX
Zip	:	77090-3405
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4200 PORTSMOUTH ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-6812
Country	:	US
Telephone Number	:	713-623-2500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	07/08/2007

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