Provider Demographics
NPI:1538894373
Name:FLAQUER, ANTONIO (DC)
Entity type:Individual
Prefix:
First Name:ANTONIO
Middle Name:
Last Name:FLAQUER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11405 ASPEN MEADOWS CT
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-1385
Mailing Address - Country:US
Mailing Address - Phone:817-706-9648
Mailing Address - Fax:
Practice Address - Street 1:11405 ASPEN MEADOWS CT
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-1385
Practice Address - Country:US
Practice Address - Phone:817-706-9648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-17
Last Update Date:2022-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15221111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor