Provider Demographics
NPI:1346397130
Name:FLESER, PAUL S (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:S
Last Name:FLESER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-851-6033
Mailing Address - Fax:615-851-2018
Practice Address - Street 1:4601 CAROTHERS PKWY STE 375
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6000
Practice Address - Country:US
Practice Address - Phone:615-791-4790
Practice Address - Fax:615-791-4531
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2023-03-15
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Provider Licenses
StateLicense IDTaxonomies
TNMD00000423062086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3000458Medicaid
TN3000458Medicaid