MEDICARE: DR. FRAN KAISER MD

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	207R00000X	Internal Medicine Physician	K8244	TX
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	K8244	TX
3	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	K8244	TX

General Provider Information

NPI Number	:	1669802583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRAN KAISER MD

Provider Business Mailing Address
First Line	:	3510 EDGEWATER ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-4315
Country	:	US
Telephone Number	:	214-906-4323
Fax Number	:

Provider Business Practice Location Address
First Line	:	3510 EDGEWATER ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-4315
Country	:	US
Telephone Number	:	214-906-4323
Fax Number	:

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

Provider Enumeration Date	:	11/13/2013
Last Update Date	:	11/13/2013

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