Nancy Flournoy

Individual provider Active NPI Geriatric Physical Therapist · Lindale, TX

NPI 1487125993 · NPPES record last updated Dec 9, 2018

Key facts

NPI
1487125993
Entity type
Individual (NPI type 1)
Primary specialty
Geriatric Physical Therapist 2251G0304X
License
2073800 (TX)
Practice address
12797 County Road 452
Lindale, TX 75771-4343
Phone
(903) 530-0191
NPI assigned
Dec 9, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2073800TXMDGeriatric Physical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 2073800 TX Yes

Addresses

Primary practice location

12797 County Road 452
Lindale, TX 75771-4343

Mailing address

PO Box 1711
Lindale, TX 75771-1711

Other providers in Lindale, TX

All providers in Lindale, TX · Geriatric Physical Therapist in Texas

Sources for this page

Verify at the official NPI Registry.