Healthcare Provider Details

I. General information

NPI: 1306984992
Provider Name (Legal Business Name): GEORGETOWN EAR, NOSE AND THROAT CENTER, PA
Entity Type: Organization
Gender:
Sole Proprietor:

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 Number
License Number State

VIII. Authorized Official

Name: SCOTT WILLIAM FRANKLIN
Title or Position: MEDICAL DIRECTOR AND PRESIDENT
Credential: M.D.
Phone: 512-869-0604