Basic Information
| Provider Information | |||||||||
| NPI: | 1679578405 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FRANKS | ||||||||
| FirstName: | DEBORAH | ||||||||
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| Credential: | CFNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 846098 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752846098 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9033246450 | ||||||||
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| Practice Location | |||||||||
| Address1: | 105 ZEID BLVD | ||||||||
| Address2: | |||||||||
| City: | HENDERSON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 756526070 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9036577583 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2005 | ||||||||
| LastUpdateDate: | 12/17/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 651904 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
ID Information
| ID | Type | State | Issuer | Description | 8554NC | 01 | TX | BCBS BLUE | OTHER | 75-2616977-017 | 01 | TX | TRICARE | OTHER | 75-2771569-005 | 01 | TX | TRICARE | OTHER | 144450704 | 05 | TX | MEDICAID | TIN PLUS 000 | 01 | TX | TRICARE | OTHER | P00310836 | 01 | TX | RAILROAD MCR - TC | OTHER | P01246206 | 01 | TX | RAIL ROAD | OTHER |