Individual
JOHN R FLANAGAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 LANDA ST, SUITE C, NEW BRAUNFELS, TX 78130-6172
(210) 887-7692
Mailing address
705 LANDA STREET, SUITE C, NEW BRAUNFELS, TX 78130-6163
(830) 629-3614
(830) 629-2438
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
G2964
TX
207P00000X
Emergency Medicine Physician
Primary
G2964
TX
208D00000X
General Practice Physician
G2964
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137211216
—
TX
Enumeration date
01/23/2006
Last updated
02/22/2017
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