Active NPI
Elizabeth S Franco-Medina
- Counselor
- Fort Worth, TX
National Provider Identifier
1013471200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 63977
- Practice address
- 4200 S Hulen St Ste 658
Fort Worth, TX 76109-4987 - Phone
- (682) 231-0522
- NPI assigned
- Jan 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 63977 | TX | Primary |
Addresses
Primary practice location
4200 S Hulen St Ste 658
Fort Worth, TX 76109-4987
Mailing address
72 Lucas LN
Fort Worth, TX 76134-3407
Phone (817) 734-1578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63977 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1013471200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 LUCAS LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761343407",
"telephone_number": "817-734-1578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 S HULEN ST STE 658",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094987",
"telephone_number": "682-231-0522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANCO-MEDINA",
"first_name": "ELIZABETH",
"middle_name": "S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-22",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "63977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.