Deshazo, Flint K
Deshazo, Flint K is an sole proprietor health care provider with primary practice located at 7200 Wyoming Spgs Ste 600, Round Rock TX 78681-4305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Deshazo, Flint K can be contacted via phone (512) 244-1995.Contact Information
Primary practice address
7200 Wyoming Spgs Ste 600
Round Rock TX 78681-4305
Phone: (512) 244-1995
Fax: (512) 244-2090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | H0291 | Texas |
Profile Details
| NPI number | 1669474623 |
|---|---|
| LBN Legal business name | Deshazo, Flint K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Jul 12th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669474623 | NPPES |
| Texas | MEDICAID | 136201403 | |
| Texas | Other | 2930473005 | |
| Texas | Other | 7566001 | |
| Texas | Other | 86V632 | |
| Texas | Other | 080152577 | |
| Texas | Other | 2930473006 | |
| Texas | Other | 742690907 | |
| Texas | Other | 819464 | |
| Texas | Other | 7566001 | |
| Texas | Other | 86V632 | |
| Texas | Other | 86V632 |
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