Provider Demographics
NPI:1063419307
Name:FRANKS, HAYDEN H (MD)
Entity type:Individual
Prefix:DR
First Name:HAYDEN
Middle Name:H
Last Name:FRANKS
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 1:2011 MOORES LN
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-1841
Mailing Address - Country:US
Mailing Address - Phone:903-792-2777
Mailing Address - Fax:903-794-6728
Practice Address - Street 1:2011 MOORES LN
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-1841
Practice Address - Country:US
Practice Address - Phone:903-792-2777
Practice Address - Fax:903-794-6728
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-01
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC8433174400000X
TXK3730207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR130805001Medicaid
ARP00315699OtherRR MEDICARE
TX029802801Medicaid
ARP00315699OtherRR MEDICARE
AR130805001Medicaid
AR5J343Medicare PIN
TX029802801Medicaid