=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578254975
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CRAIG FRANKE, MD & ASSOCIATES, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/16/2023
-----------------------------------------------------
Last Update Date | 05/16/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 901 SAD WILLOW PASS
-----------------------------------------------------
City | DRIFTWOOD
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78619-4100
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 737-271-3008
-----------------------------------------------------
Fax | 737-312-2552
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 166 HARGRAVES DR. STE#C400 P.O. BOX 130
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78737
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | CRAIG FRANKE
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 254-541-7611
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------