Provider Demographics
NPI:1194277285
Name:FLEXIDY LLC
Entity type:Organization
Organization Name:FLEXIDY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:NADER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:832-932-9300
Mailing Address - Street 1:PO BOX 271463
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77277-1463
Mailing Address - Country:US
Mailing Address - Phone:832-932-9300
Mailing Address - Fax:855-790-3974
Practice Address - Street 1:4141 SOUTHWEST FWY
Practice Address - Street 2:SUITE 410
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7313
Practice Address - Country:US
Practice Address - Phone:832-932-9300
Practice Address - Fax:855-790-3974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty