Provider Demographics
NPI:1598006116
Name:VAUTRIN, FRANCK (CO,LO)
Entity type:Individual
Prefix:
First Name:FRANCK
Middle Name:
Last Name:VAUTRIN
Suffix:
Gender:M
Credentials:CO,LO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12890 HILLCREST RD
Mailing Address - Street 2:SUITE K201
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-1504
Mailing Address - Country:US
Mailing Address - Phone:214-242-8977
Mailing Address - Fax:214-242-9043
Practice Address - Street 1:12890 HILLCREST RD
Practice Address - Street 2:SUITE K201
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1504
Practice Address - Country:US
Practice Address - Phone:214-242-8977
Practice Address - Fax:214-242-9043
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1015222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist