MEDICARE: CHARLES M FRANZ, D. O.

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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CH2694	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0032EM	OTHER		BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1245200724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARLES M FRANZ, D. O.

Provider Business Mailing Address
First Line	:	876 MAGNOLIA AVE
Second Line	:
City	:	PORT NECHES
State	:	TX
Zip	:	77651-3712
Country	:	US
Telephone Number	:	409-727-4080
Fax Number	:	409-727-3838

Provider Business Practice Location Address
First Line	:	876 MAGNOLIA AVE
Second Line	:
City	:	PORT NECHES
State	:	TX
Zip	:	77651-3712
Country	:	US
Telephone Number	:	409-727-4080
Fax Number	:	409-727-3838

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	CHARLES MICHAEL FRANZ
Credential	:	D.O.
Telephone Number	:	409-727-4080

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	08/22/2020

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