Individual
TANYA L FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
102 N MAGDALEN ST, SAN ANGELO, TX 76903-5400
(325) 747-2344
(325) 747-2109
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 747-1511
(325) 747-2165
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA142012
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1107819
NCCPA
TX
Enumeration date
10/08/2012
Last updated
11/06/2024
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