Provider Demographics
NPI:1699923466
Name:LK & D ENTERPRISES LLC
Entity type:Organization
Organization Name:LK & D ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-586-9971
Mailing Address - Street 1:1125 CYPRESS STATION DR
Mailing Address - Street 2:BLDG B #1 & #2
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-1602
Mailing Address - Country:US
Mailing Address - Phone:281-586-9971
Mailing Address - Fax:281-580-5061
Practice Address - Street 1:1125 CYPRESS STATION DR
Practice Address - Street 2:BLDG B #1 & #2
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-1602
Practice Address - Country:US
Practice Address - Phone:281-586-9971
Practice Address - Fax:281-580-5061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH10802084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX098234001Medicaid
TXH1080OtherLICENSE
TXH1080OtherLICENSE