| Doctor Name: | PATRICE P FLAHERTY |
| NPI Number: | 1265626477 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 015038 |
| Business Practice Address: | 187 Ninth St Jena, LA - 713423901 |
| Business Phone Number: | 3189929200 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1325, IDALOU |
| State: | TX |
| Postal Code: | 793291325 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/30/2007 |
| NPI Last Update Date: | 12/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 015038 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |