Basic Information
Provider Information
NPI: 1558894030
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANCO
FirstName: RICARDO
MiddleName: HINOJOS
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3601 4TH ST # MS 9410
Address2:  
City: LUBBOCK
State: TX
PostalCode: 794300002
CountryCode: US
TelephoneNumber: 0674369168
FaxNumber:  
Practice Location
Address1: 350 HERITAGE WAY STE 2100
Address2:  
City: KALISPELL
State: MT
PostalCode: 599013167
CountryCode: US
TelephoneNumber: 4062578992
FaxNumber: 4062578996
Other Information
ProviderEnumerationDate: 04/11/2017
LastUpdateDate: 03/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/08/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XT4364TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RP1001XMED-PHYS-LIC-100152MTY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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