Provider Demographics
NPI:1669474623
Name:DESHAZO, FLINT K (MD)
Entity type:Individual
Prefix:DR
First Name:FLINT
Middle Name:K
Last Name:DESHAZO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7200 WYOMING SPGS
Mailing Address - Street 2:STE 600
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4305
Mailing Address - Country:US
Mailing Address - Phone:512-244-1995
Mailing Address - Fax:512-244-2090
Practice Address - Street 1:7200 WYOMING SPGS
Practice Address - Street 2:STE 600
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4305
Practice Address - Country:US
Practice Address - Phone:512-244-1995
Practice Address - Fax:877-215-6813
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-02
Last Update Date:2025-08-20
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Provider Licenses
StateLicense IDTaxonomies
TXH0291207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86V632OtherFKD BLUE HMO
TX2930473005OtherFKD CIGNA HMO
TX86V632OtherFKS OLD HMO BLUE
TX080152577OtherFKD RRB MEDICARE UNIT
TX7566001OtherFKD AETNA PPO
TX819464OtherFKD FH PPO
TX7566001OtherFKD AETNA HMO
TX86V632OtherFKD BLUE PPO
TX136201403Medicaid
TX2930473006OtherFKD CIGNA PPO
TX742690907OtherFKD ST D PPO
TX742690907OtherFKD ST D PPO
TX86V632OtherFKD BLUE PPO