Healthcare Provider Details

I. General information

NPI: 1174592182
Provider Name (Legal Business Name): LATOSHA FLOWERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 LITTLE RD
ARLINGTON TX
76017-1058
US

IV. Provider business mailing address

4700 LITTLE RD
ARLINGTON TX
76017-1058
US

V. Phone/Fax

Practice location:
  • Phone: 800-218-8989
  • Fax: 888-635-4503
Mailing address:
  • Phone: 800-218-8989
  • Fax: 888-635-4503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberL9689
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: