Provider Demographics
NPI:1336139377
Name:PFLANZER, JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:PFLANZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 BOLTON BOONE DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2041
Mailing Address - Country:US
Mailing Address - Phone:972-298-6677
Mailing Address - Fax:972-298-5583
Practice Address - Street 1:2801 BOLTON BOONE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2041
Practice Address - Country:US
Practice Address - Phone:972-298-6677
Practice Address - Fax:972-298-5583
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD7866207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166010125OtherPACIFICARE/SECURE HORIZON
TXD7866OtherSTATE LICENSE
TX034658701Medicaid
TX00L836Medicare ID - Type Unspecified
TXB25490Medicare UPIN