Healthcare Provider Details

I. General information

NPI: 1043493448
Provider Name (Legal Business Name): JERRY L. FRANZ, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2007
Last Update Date: 12/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4898 LITTLE RD
ARLINGTON TX
76017-1054
US

IV. Provider business mailing address

4898 LITTLE RD
ARLINGTON TX
76017-1054
US

V. Phone/Fax

Practice location:
  • Phone: 817-572-7941
  • Fax: 817-572-7982
Mailing address:
  • Phone: 817-572-7941
  • Fax: 817-572-7982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberE1580
License Number StateTX

VIII. Authorized Official

Name: DR. JERRY LOUIS FRANZ
Title or Position: MEDICAL DIRECTOR
Credential: M.D., P.A.
Phone: 817-572-7941