Healthcare Provider Details

I. General information

NPI: 1568562395
Provider Name (Legal Business Name): ARIE FRANCO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 07/28/2022
Certification Date: 07/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 UNIVERSITY BLVD
GALVESTON TX
77555-0004
US

IV. Provider business mailing address

PO BOX 650859 DEPT 710
DALLAS TX
75265-5503
US

V. Phone/Fax

Practice location:
  • Phone: 409-772-2222
  • Fax: 706-721-9329
Mailing address:
  • Phone: 409-747-6240
  • Fax: 956-362-7510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number25276
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License Number25276
License Number StateOK
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberS7047
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: