Healthcare Provider Details

I. General information

NPI: 1033432901
Provider Name (Legal Business Name): PETER D. FRANKLIN M.D. P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2010
Last Update Date: 03/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 W WEDGEWOOD GLN
THE WOODLANDS TX
77381-2582
US

IV. Provider business mailing address

19 W WEDGEWOOD GLN
THE WOODLANDS TX
77381-2582
US

V. Phone/Fax

Practice location:
  • Phone: 281-296-0638
  • Fax: 281-364-9642
Mailing address:
  • Phone: 281-296-0638
  • Fax: 281-364-9642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberJ4808
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberJ4808
License Number StateTX

VIII. Authorized Official

Name: DR. PETER DAVID FRANKLIN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 281-296-0638