Provider Demographics
NPI:1992297865
Name:FRANCO, ELISA (LAC, LMT)
Entity type:Individual
Prefix:
First Name:ELISA
Middle Name:
Last Name:FRANCO
Suffix:
Gender:F
Credentials:LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 WINDROSE PL
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3225
Mailing Address - Country:US
Mailing Address - Phone:915-504-5337
Mailing Address - Fax:
Practice Address - Street 1:310 THUNDERBIRD DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3803
Practice Address - Country:US
Practice Address - Phone:915-581-5440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-05
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist