MEDICARE: JAMES FRANKS FAMILY MEDICINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	E1393	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	E1393	OTHER	AR	PHYSICIAN LICENSE

General Provider Information

NPI Number	:	1043433477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES FRANKS FAMILY MEDICINE

Provider Business Mailing Address
First Line	:	1698 LINDAUER RD
Second Line	:
City	:	FORREST CITY
State	:	AR
Zip	:	72335-2529
Country	:	US
Telephone Number	:	870-630-2500
Fax Number	:	870-630-2504

Provider Business Practice Location Address
First Line	:	1698 LINDAUER RD
Second Line	:
City	:	FORREST CITY
State	:	AR
Zip	:	72335-2529
Country	:	US
Telephone Number	:	870-630-2500
Fax Number	:	870-630-2504

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	MS. CAROL D BAKER
Credential	:
Telephone Number	:	870-630-2500

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	08/22/2020

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