Provider Demographics
NPI:1154584092
Name:FLOWERS, BRIDGETTE M
Entity type:Individual
Prefix:MRS
First Name:BRIDGETTE
Middle Name:M
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 ALLEN ST APT 713
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-5974
Mailing Address - Country:US
Mailing Address - Phone:972-201-7332
Mailing Address - Fax:469-248-2322
Practice Address - Street 1:821 ALLEN ST APT 713
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-5974
Practice Address - Country:US
Practice Address - Phone:972-201-7332
Practice Address - Fax:469-248-2322
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities