MR. DEAUNTAE FLANAGAN (NPI# 1780181040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780181040 |
Entity Type | Individual |
Full Name | MR. DEAUNTAE FLANAGAN |
Practice Address |
4165 Old Dowlen Rd Beaumont TX 77706-6608 |
Practice Telephone | 7578068218 |
Mailing Telephone | 7578068218 |
Enumeration Date | 2018-04-12 |
Last Update Date | 2018-04-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 146M00000X | Emergency Medical Technician, Intermediate | Emergency Medical Service Providers | ||
Y | 347E00000X | Transportation Broker | Transportation Services |
Address | Telephone Number | Fax Number |
---|---|---|
1565 Ridgewood Dr, San Diego, Ca 92139, Ca 92139, UM | 7578068218 |
Street Address |
4165 OLD DOWLEN RD |
City | BEAUMONT |
State | TX |
Zip Code | 77706-6608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
Find all providers in zip 77706 |
Taxonomy Code | 347E00000X |
Grouping | Transportation Services |
Classification | Transportation Broker |
A public or private organization or business contracted to arrange non-emergency medical transportation services, including appropriate ancillary services, e.g., lodging. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508478603 | Ambulance Usa | Transportation Broker | 25807 Westheimer Pkwy Ste 411, Katy, TX 77494-5333 | 2020-08-19 |
1881203081 | John Suhbesi | Transportation Broker | 9803 W Sam Houston Pkwy S Apt 2266, Houston, TX 77099-5107 | 2020-07-24 |
1912530973 | Lizah Mandiringa | Transportation Broker | 109 Highwood Ave, Oak Point, TX 75068-3175 | 2020-02-18 |
1619508025 | The Special Needs Activity Center | Transportation Broker | 3911 S Lancaster Rd Ste 100, Dallas, TX 75216-5682 | 2020-02-04 |
1659902526 | Mimshach Tax Services, LLC | Transportation Broker | 11545 Henderson Dr, Frisco, TX 75035-8854 | 2020-01-30 |
1497394019 | Blueknight Financial LLC | Transportation Broker | 2840 Keller Springs Rd Ste 502, Carrollton, TX 75006-4872 | 2019-12-30 |
1174161848 | Tommy Sunday Jatto | Transportation Broker | 6207 Grandvale Dr, Houston, TX 77072-1517 | 2019-12-12 |
1447895917 | Eugene C Uche | Transportation Broker | 334 Tranquility Ln, Cedar Hill, TX 75104-3158 | 2019-11-08 |
1326682386 | Karen Anita Rivers-johnson | Transportation Broker | 22929 Birnam Wood Blvd Unit A, Spring, TX 77373-1432 | 2019-11-03 |
1124672837 | Performance Parking Management, LLC | Transportation Broker | 1311 E Hackberry Ave, Mcallen, TX 78501-5702 | 2019-07-31 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.