Individual
DR. JOHN FLYNN TEICHGRAEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST, SUITE 950, HOUSTON, TX 77030-3000
(832) 325-7234
(713) 512-2221
Mailing address
6431 FANNIN ST, MSB 5.254, HOUSTON, TX 77030-1501
(713) 500-7300
(713) 500-7296
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
G4061
TX
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
G4061
TX
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
G4061
TX
2086S0120X
Pediatric Surgery Physician
G4061
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G4061
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134549803
CSHCN
TX
05
—
134549805
—
TX
05
—
134549808
—
TX
01
—
81Z234
BCBSTX
TX
Enumeration date
04/14/2006
Last updated
12/02/2011
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