Healthcare Provider Details

I. General information

NPI: 1922094143
Provider Name (Legal Business Name): FRANKLIN M CHEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 07/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3708 SPICEWOOD SPRINGS RD STE 218
AUSTIN TX
78759-8938
US

IV. Provider business mailing address

PO BOX 28388
AUSTIN TX
78755-8388
US

V. Phone/Fax

Practice location:
  • Phone: 512-338-0280
  • Fax: 512-338-0283
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberK0676
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: