Provider Demographics
NPI:1932267036
Name:FLYNN, DAVID CARROLL (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CARROLL
Last Name:FLYNN
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 1:6573 OLD JACKSONVILLE HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703
Mailing Address - Country:US
Mailing Address - Phone:039-617-6106
Mailing Address - Fax:903-617-6857
Practice Address - Street 1:6573 OLD JACKSONVILLE HWY STE 100
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-0575
Practice Address - Country:US
Practice Address - Phone:903-617-6106
Practice Address - Fax:903-617-6857
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10444111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor