Organization Active NPI

Keith Flak MD PLLC

  • Orthopaedic Surgery Physician
  • Shenandoah, TX
National Provider Identifier
1053756650
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
N5054 Issued in TX
Legal business name
KEITH FLAK MD PLLC
Practice address
920 Medical Plaza Dr Ste 260
Shenandoah, TX 77380-3275
Phone
(281) 292-3999
NPI assigned
May 8, 2013
Last updated
Aug 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Keith Stephen Flak, M.D.NPI 1710195417
Title
Member
Phone
(281) 292-3999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X N5054 TX Primary

Addresses

Primary practice location

920 Medical Plaza Dr Ste 260
Shenandoah, TX 77380-3275

Mailing address

4747 Research Forest Dr
Suite 180-206
The Woodlands, TX 77381-4912
Phone (281) 292-3999

National Provider Directory

National Provider Directory

Locations

4747 Research Forest Dr
#18
Shenandoah, TX 77381

4747 Research Forest Dr
Ste 180206
The Woodlands, TX 77381

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1053756650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 RESEARCH FOREST DR",
            "address_2": "SUITE 180-206",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773814912",
            "telephone_number": "281-292-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR STE 260",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803275",
            "telephone_number": "281-292-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH FLAK MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "FLAK",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "281-292-3999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "N5054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.