MEDICARE: DR. LARRY R FRANKS D.D.S.

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	122300000X	Dentist	11077	TX

General Provider Information

NPI Number	:	1548496110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LARRY R FRANKS D.D.S.

Provider Business Mailing Address
First Line	:	2401 N ED CAREY DR
Second Line	:	SUITE B
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8205
Country	:	US
Telephone Number	:	956-428-4434
Fax Number	:	956-428-4431

Provider Business Practice Location Address
First Line	:	2401 N ED CAREY DR
Second Line	:	SUITE B
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8205
Country	:	US
Telephone Number	:	956-428-4434
Fax Number	:	956-428-4431

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

Provider Enumeration Date	:	06/09/2009
Last Update Date	:	06/09/2009

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