Individual
EMMETTE T FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 N MAGDALEN ST, SAN ANGELO, TX 76903-5400
(325) 658-1511
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J3307
TX
2086S0129X
Vascular Surgery Physician
J3307
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117723002
—
TX
Enumeration date
11/08/2005
Last updated
09/25/2014
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