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NPI Code Detail

MEDICARE: JAMES N. FLACK M. D.

MEDICARE: JAMES N. FLACK 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
12084P0800XPsychiatry PhysicianH3566TX

General Provider Information

NPI Number : 1952315137
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES N. FLACK M. D.
Provider Business Mailing Address
First Line : 2801 GESSNER DR
Second Line :
City : HOUSTON
State : TX
Zip : 77080-2503
Country : US
Telephone Number : 713-275-5086
Fax Number : 713-275-5107
Provider Business Practice Location Address
First Line : 2801 GESSNER DR
Second Line :
City : HOUSTON
State : TX
Zip : 77080-2503
Country : US
Telephone Number : 713-275-5086
Fax Number : 713-275-5107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 03/19/2009

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