Provider Demographics
NPI:1174592182
Name:FLOWERS, LATOSHA (MD)
Entity type:Individual
Prefix:
First Name:LATOSHA
Middle Name:
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 LITTLE RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-1058
Mailing Address - Country:US
Mailing Address - Phone:800-218-8989
Mailing Address - Fax:888-635-4503
Practice Address - Street 1:4700 LITTLE RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-1058
Practice Address - Country:US
Practice Address - Phone:800-218-8989
Practice Address - Fax:888-635-4503
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9689207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00393669OtherRAILROAD MEDICARE
TX8X2790OtherBLUE CROSS BLUE SHIELD
TX168758403Medicaid
TXI20315Medicare UPIN
TX8X2790OtherBLUE CROSS BLUE SHIELD