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MR. DEAUNTAE FLANAGAN NPI 1780181040


NPI Information

NPI: 1780181040
Provider Name: MR. DEAUNTAE FLANAGAN
Classification: Transportation Broker - 347E00000X
Entity Type: Individual
Address:
4165 OLD DOWLEN RD
BEAUMONT, TX
ZIP 77706
Phone: (757) 806-8218
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MR. Deauntae Flanagan is a transportation broker in Beaumont, TX. The provider is an organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation. MR. Deauntae Flanagan NPI is 1780181040. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4165 OLD DOWLEN RD
BEAUMONT, TX
ZIP 77706-608
Phone: (757) 806-8218

The enumeration date for this NPI number is 4/12/2018 and was last updated on 4/12/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2146M00000XEmergency Medical Technician, IntermediateNo
3347E00000XTransportation BrokerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1$$$$$$$$$MEDICAIDCALIFORNIA
2$$$$$$$$$MEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.