Organization
KFC MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN FLANAGAN MD (MANAGER)
(214) 820-7246
Entity
Organization
Contact information
Practice address
5045 LORIMAR DR, SUITE 290, PLANO, TX 75093-5720
(972) 403-1463
(972) 403-1465
Mailing address
PO BOX 650444, DEPT 121, DALLAS, TX 75265-0444
(972) 479-1115
(972) 479-1118
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
J8977
TX
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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