Provider Demographics
NPI:1831802941
Name:FLOWERS, DAGAN (HIS)
Entity type:Individual
Prefix:
First Name:DAGAN
Middle Name:
Last Name:FLOWERS
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 S DOUGLAS BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-5240
Mailing Address - Country:US
Mailing Address - Phone:405-445-0808
Mailing Address - Fax:
Practice Address - Street 1:1405 S DOUGLAS BLVD STE B
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-5240
Practice Address - Country:US
Practice Address - Phone:405-445-0808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1294237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist