Individual
DOUGLAS R FLANDERS
Active
Individual
DOUGLAS R FLANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J4116
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103967901
—
TX
05
—
103967907
—
TX
01
—
8FQ969
BCBS
TX
01
—
P01624180
RR MEDICARE
TX
Enumeration date
03/10/2006
Last updated
02/08/2017
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