Provider Demographics
NPI:1205929494
Name:ANDERSON, FRANKLIN L (MD)
Entity type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:L
Last Name:ANDERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 W OAKS CT
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1823
Mailing Address - Country:US
Mailing Address - Phone:210-274-7897
Mailing Address - Fax:
Practice Address - Street 1:6 W OAKS CT
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1823
Practice Address - Country:US
Practice Address - Phone:210-274-7897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7978207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX126156208Medicaid
TX8BG783OtherBCBS
TX126156208Medicaid
TX8L4289Medicare PIN