Individual
DR. JUDITH R FLAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 LAKEVIEW DR STE 102, AMARILLO, TX 79109-1532
(806) 468-9400
(806) 468-9401
Mailing address
2400 LAKEVIEW DR STE 102, AMARILLO, TX 79109-1532
(806) 468-9400
(806) 468-9401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100501
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089144204
—
TX
01
—
8T1107;8T1539
BCBS
TX
Enumeration date
08/16/2006
Last updated
10/18/2012
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