Provider Demographics
NPI:1154411452
Name:FRANCO, OSCAR R (PHD)
Entity type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:R
Last Name:FRANCO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2718 MILLBROOK RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-5206
Mailing Address - Country:US
Mailing Address - Phone:910-964-1534
Mailing Address - Fax:
Practice Address - Street 1:1830 OWEN DR STE 203
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3412
Practice Address - Country:US
Practice Address - Phone:910-483-6427
Practice Address - Fax:910-483-6557
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-15
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1662103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC56-1883285OtherTAZ ID
NC6000346Medicaid
NC530148Medicare UPIN