MEDICARE: DR. BRIAN KEVIN FLANAGAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician	K1194	TX

General Provider Information

NPI Number	:	1962489930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN KEVIN FLANAGAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 650444
Second Line	:	DEPT 111
City	:	DALLAS
State	:	TX
Zip	:	75265-0444
Country	:	US
Telephone Number	:	972-972-4851
Fax Number	:	972-556-5202

Provider Business Practice Location Address
First Line	:	12222 NORTH CENTRAL EXPRESSWAY
Second Line	:	SUITE 340
City	:	DALLAS
State	:	TX
Zip	:	75243-3755
Country	:	US
Telephone Number	:	972-972-4851
Fax Number	:	972-556-5202

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	09/30/2024

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