MEDICARE: DR. CAROLYN RUTH FRANKLIN M.D.

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	G5057	TX

General Provider Information

NPI Number	:	1164407888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLYN RUTH FRANKLIN M.D.

Provider Business Mailing Address
First Line	:	702 W HENRIETTA AVE
Second Line	:
City	:	KINGSVILLE
State	:	TX
Zip	:	78363-4210
Country	:	US
Telephone Number	:	361-592-8780
Fax Number	:

Provider Business Practice Location Address
First Line	:	10651 E ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78419-5130
Country	:	US
Telephone Number	:	361-961-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	07/08/2007

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