Healthcare Provider Details
I. General information
NPI: 1225346216
Provider Name (Legal Business Name): FRANCO X ADAMS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/23/2010
Last Update Date: 09/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1050 W ASH LN APT 915
EULESS TX
76039-2161
US
IV. Provider business mailing address
1050 W ASH LN APT 915
EULESS TX
76039-2161
US
V. Phone/Fax
- Phone: 817-939-1996
- Fax: 817-468-9314
- Phone: 817-939-1996
- Fax: 817-468-9314
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: