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Individual
DAVID A FLACK
Active
Individual
DAVID A FLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G5046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80P246
BLUE CROSS
TX
05
—
PO80P2466
—
TX
Enumeration date
06/02/2005
Last updated
02/22/2008
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