Enrique Jesus Flechas, M.D.
Individual provider Active NPI Family Medicine Physician · University, MS
NPI 1720192065 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720192065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 05432 (MS)
- Practice address
- Rebel Drive
V.B. Harrison Student Health Center
University, MS 38677 - Phone
- (662) 915-7274
- Fax
- (662) 915-7274
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05432 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Mississippi Anesthesia | Past | Accepting new patients | |
| First Choice Health, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05432 | MS | Yes |
Addresses
Primary practice location
Rebel Drive
V.B. Harrison Student Health Center
University, MS 38677
Mailing address
PO Box 1848
University, MS 38677-1848
Phone (662) 915-7274
Other providers in University, MS
- Sean Dunn
- Campbell Douglas Dye
- Kirk Emick
- Brittany Ferrell
- Amy Killen Fisher
- Ronald Corbit Franks Jr.
- Aynslie Grace Furbush
- Susannah Furr
- Rosalie Garner
- Rachel Rose Gervais
All providers in University, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.