Healthcare Provider Details

I. General information

NPI: 1225176811
Provider Name (Legal Business Name): SCOTT WILLIAM FRANKLIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2007
Last Update Date: 07/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 S AUSTIN AVE SUITE 370
GEORGETOWN TX
78626-7545
US

IV. Provider business mailing address

3201 S AUSTIN AVE SUITE 370
GEORGETOWN TX
78626-7545
US

V. Phone/Fax

Practice location:
  • Phone: 512-869-0604
  • Fax: 512-868-5936
Mailing address:
  • Phone: 512-869-0604
  • Fax: 512-868-5936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberL3969
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License NumberL3969
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: