Provider Demographics
NPI:1831243609
Name:FLUME, SHIREE CECILE (MD)
Entity type:Individual
Prefix:
First Name:SHIREE
Middle Name:CECILE
Last Name:FLUME
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 1:106 E 6TH ST
Mailing Address - Street 2:900
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-3659
Mailing Address - Country:US
Mailing Address - Phone:512-329-5575
Mailing Address - Fax:512-329-6141
Practice Address - Street 1:106 E 6TH ST
Practice Address - Street 2:900
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-3659
Practice Address - Country:US
Practice Address - Phone:512-329-5575
Practice Address - Fax:512-329-6141
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH55502084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00D74EMedicare ID - Type Unspecified
TXE17861Medicare UPIN