Healthcare Provider Details

I. General information

NPI: 1063419307
Provider Name (Legal Business Name): HAYDEN H FRANKS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2011 MOORES LN
TEXARKANA TX
75503-1841
US

IV. Provider business mailing address

2011 MOORES LN
TEXARKANA TX
75503-1841
US

V. Phone/Fax

Practice location:
  • Phone: 903-792-2777
  • Fax: 903-794-6728
Mailing address:
  • Phone: 903-792-2777
  • Fax: 903-794-6728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberC8433
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberK3730
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: