Individual
MARINA YURIEVNA FLASKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
703 S FLEISHEL AVE, STE 4000, TYLER, TX 75701-2015
(903) 606-7000
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23208
WV
207RC0000X
Cardiovascular Disease Physician
23208
WV
207RC0000X
Cardiovascular Disease Physician
Primary
N1319
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198507901
—
TX
05
—
198507902
—
TX
01
—
75-0818167-015
TRICARE
TX
01
—
75-2616977-019
TRICARE
TX
01
—
8BC261
BCBS OF TEXAS
TX
01
—
8ED335
BCBS
TX
01
—
TIN PLUS 001
TRICARE
TX
01
—
TIN PLUS 029
TRICARE
TX
01
—
TIN PLUS 042
TRICARE
TX
Enumeration date
01/16/2007
Last updated
09/27/2024
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