Provider Demographics
NPI:1619084068
Name:FLOWERS, THOMAS M (DO)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:M
Last Name:FLOWERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15900 SPACE CENTER BLVD
Mailing Address - Street 2:SUITE N2
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-6268
Mailing Address - Country:US
Mailing Address - Phone:281-923-2133
Mailing Address - Fax:
Practice Address - Street 1:755 N. 11TH ST
Practice Address - Street 2:SUITE D100
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1513
Practice Address - Country:US
Practice Address - Phone:281-923-2133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYTP280207P00000X
TXJ0487207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX140118427Medicaid
TX140118428Medicaid
TX8AP266OtherBCBS
TX8BW844OtherBCBS
TX00613QMedicare ID - Type Unspecified
TX8F6352Medicare PIN
TX8BW844OtherBCBS
TXP00440853Medicare PIN
TX140118428Medicaid
TX8F20429Medicare PIN