Healthcare Provider Details

I. General information

NPI: 1619084068
Provider Name (Legal Business Name): THOMAS M. FLOWERS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 07/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 N. 11TH ST SUITE D100
BEAUMONT TX
77702-1513
US

IV. Provider business mailing address

15900 SPACE CENTER BLVD SUITE N2
HOUSTON TX
77062-6268
US

V. Phone/Fax

Practice location:
  • Phone: 281-923-2133
  • Fax:
Mailing address:
  • Phone: 281-923-2133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberTP280
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License NumberJ0487
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: