Healthcare Provider Details

I. General information

NPI: 1548207103
Provider Name (Legal Business Name): FRANKS INTERNAL MEDICIEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 N DUDNEY RD
MAGNOLIA AR
71753-2624
US

IV. Provider business mailing address

1010 N DUDNEY RD
MAGNOLIA AR
71753-2624
US

V. Phone/Fax

Practice location:
  • Phone: 870-234-5995
  • Fax: 870-234-0278
Mailing address:
  • Phone: 870-234-5995
  • Fax: 870-234-0278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberE2752
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA01690
License Number StateAR

VIII. Authorized Official

Name: JASON ANDREW FRANKS
Title or Position: CEO
Credential: MD
Phone: 870-234-5995