Provider Demographics
NPI:1528527652
Name:DE FRANCO, MADELINE (DPT)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:
Last Name:DE FRANCO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MADELINE
Other - Middle Name:G
Other - Last Name:LIVERGOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2000 FM 663 STE 160
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-6559
Mailing Address - Country:US
Mailing Address - Phone:469-856-2476
Mailing Address - Fax:469-749-7482
Practice Address - Street 1:2000 FM 663 STE 160
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-6559
Practice Address - Country:US
Practice Address - Phone:469-856-2476
Practice Address - Fax:469-749-7482
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1314856225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist