Provider Demographics
NPI:1417157249
Name:FLAVILL, ERIC CHRISTOPHER (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:CHRISTOPHER
Last Name:FLAVILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1441 REDBUD BLVD
Mailing Address - Street 2:SUITE 231
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3271
Mailing Address - Country:US
Mailing Address - Phone:972-542-0627
Mailing Address - Fax:972-542-0935
Practice Address - Street 1:1441 REDBUD BLVD
Practice Address - Street 2:SUITE 231
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3271
Practice Address - Country:US
Practice Address - Phone:972-542-0627
Practice Address - Fax:972-542-0935
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2017-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN8508207Y00000X
OH35.121145207YX0007X, 207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
No207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery