Keith Stephen Flak, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

N5054 Issued in TX

Practice address

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

Phone

(281) 292-3999

NPI assigned

May 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1710195417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR STE 260",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803275",
            "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": {
        "last_name": "FLAK",
        "first_name": "KEITH",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "N5054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A Field, MD
• Maritza Jeannette Figueroa, PH.D
• Stephen D Fillman, MD
• Alexis Finister
• First Surgical Anesthesia Services
• Claudia Patricia Flores, PA-C
• Tiffany Ann-Marie Flores, BCABA
• Joy Fortenbury
• Jennifer Lynn Fox, NP-C
• Donald Clarke Frame, MD

• Sports Medicine (Orthopaedic Surgery) Physician in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.