Doctor Name: | MRS. MARY JANE FLANAGAN |
NPI Number: | 1043509664 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNPC |
License Number: | 246097 |
Business Practice Address: | 328 W Main St Lewisville, TX - 750573866 |
Business Phone Number: | 9724367557 |
Business Fax Number: | |
Mailing Address: | 328 W Main St, LEWISVILLE |
State: | TX |
Postal Code: | 750573866 |
Phone Number: | 9724367557 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2011 |
NPI Last Update Date: | 04/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 246097 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |