Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | T - 2794 | MS |
N | 111NI0900X | Internist | T - 2794 | MS |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | S5616 | TX |
NPI | 1215342241 |
---|---|
Provider Name | Thomas Flautt |
First Address | Pearland, TX 77584-3741 |
Second Address | Houston, TX 77030-2744 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2014 |
Last Update Date | 18/08/2021 |