MEDICARE: DR. DANIEL PATRICK FLYNN DPM

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	213E00000X	Podiatrist		IL

General Provider Information

NPI Number	:	1821097353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL PATRICK FLYNN DPM

Provider Business Mailing Address
First Line	:	2127 RICHMOND DRIVE
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76309
Country	:	US
Telephone Number	:	940-696-9121
Fax Number	:

Provider Business Practice Location Address
First Line	:	4301 MOW-WAY ROAD
Second Line	:
City	:	FORT SILL
State	:	OK
Zip	:	73503-6300
Country	:	US
Telephone Number	:	580-458-2695
Fax Number	:

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	07/08/2007

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