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NPI 1467315747

NPI 1467315747 : FLOWERS FAMILY PSYCHIATRY : SOUTHLAKE, TX

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General NPI Number Information
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    NPI Number           |    1467315747
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    Entity Type          |    Organization 
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    Legal Business Name  |    FLOWERS FAMILY PSYCHIATRY 
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Dates
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    Enumeration Date     |    12/04/2025
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    Last Update Date     |    12/04/2025
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Provider Practice Location Address
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    Address Line         |    578 N KIMBALL AVE STE 110 
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    City                 |    SOUTHLAKE
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    State                |    TX
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    Zip                  |    76092-6897
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    Country              |    US
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    Telephone            |    682-393-3079
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    Fax                  |    817-646-5688
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Provider Business Mailing Address
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    Address Line         |    578 N KIMBALL AVE STE 110 
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    City                 |    SOUTHLAKE
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    State                |    TX
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    Zip                  |    76092-6897
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    Country              |    US
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    Telephone            |    682-393-3079
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    Fax                  |    817-646-5688
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Authorized Official
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    Title or Position    |    OWNER/PROVIDER
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    Name                 |     BRANDON L FLOWERS 
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    Credential           |    PMHNP
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    Telephone            |    682-393-3079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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