Provider Demographics
NPI:1619904869
Name:FLAHERTY, FRANK J (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:FLAHERTY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 948
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-0015
Mailing Address - Country:US
Mailing Address - Phone:214-383-5305
Mailing Address - Fax:214-383-5340
Practice Address - Street 1:997 RAINTREE CIR
Practice Address - Street 2:SUITE 150
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-4949
Practice Address - Country:US
Practice Address - Phone:214-383-5305
Practice Address - Fax:214-383-5340
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9009111NR0400X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CA312OtherBCBS OF TEXAS PROVIDER NUMBER (OUT NETWORK)
FL70375OtherBC PROVIDER ID
TX8CA312OtherBCBS OF TEXAS PROVIDER NUMBER (OUT NETWORK)
FL70375OtherBC PROVIDER ID
FL70375Medicare ID - Type UnspecifiedPROVIDER ID