Organization Active NPI

Franklin M Douglis MD PA

  • Specialist
  • Conroe, TX
National Provider Identifier
1891917290
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G2687 Issued in TX
Legal business name
FRANKLIN M DOUGLIS MD PA
Practice address
3000 W Davis
Conroe, TX 77304-2072
Phone
(936) 539-9322
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Franklin M DouglisNPI 1881699932
Title
President
Phone
(936) 539-9322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G2687 TX Primary

Addresses

Primary practice location

3000 W Davis
Conroe, TX 77304-2072

Mailing address

3000 W Davis
Conroe, TX 77304-2072
Phone (936) 539-9322

Other identifiers 2

IdentifierTypeStateIssuer
156175501MedicaidTX
156739801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040614000321 TX Part B Supplier - Clinic/Group Practice 3678557295 Receives reassigned benefits from 2 practitioners
Practice locations: Spring, TX; Conroe, TX

National Provider Directory

National Provider Directory

Locations

203 N College Ave
Ste 3002
Cleveland, TX 77327
Phone (281) 432-4603

21191 Kuykendahl Rd
Spring, TX 77379
Phone (281) 376-1188

6611 FM 2920 Rd
Spring, TX 77379
Phone (281) 376-1188

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1891917290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 W DAVIS",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042072",
            "telephone_number": "936-539-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W DAVIS",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042072",
            "telephone_number": "936-539-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN M DOUGLIS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "DOUGLIS",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-539-9322"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G2687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156175501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156739801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.