Individual
MR. DEAUNTAE FLANAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4165 OLD DOWLEN RD, BEAUMONT, TX 77706-6608
(757) 806-8218
Mailing address
4165 OLD DOWLEN RD, BEAUMONT, TX 77706-6608
(757) 806-8218
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
146M00000X
Intermediate Emergency Medical Technician
—
—
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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