Provider Demographics
NPI:1427161157
Name:FLAGG, ARTEMUS II (MD)
Entity type:Individual
Prefix:DR
First Name:ARTEMUS
Middle Name:
Last Name:FLAGG
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 GATEWAY DR STE B
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-5598
Mailing Address - Country:US
Mailing Address - Phone:985-288-5088
Mailing Address - Fax:985-259-8803
Practice Address - Street 1:310 GATEWAY DR STE B
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461
Practice Address - Country:US
Practice Address - Phone:985-288-5088
Practice Address - Fax:985-259-8803
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4066207L00000X
LAMD.206211207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology