Provider Demographics
NPI:1003073750
Name:FLORES, MARTHA E (NP)
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:E
Last Name:FLORES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:2501 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-1531
Mailing Address - Country:US
Mailing Address - Phone:806-355-8900
Mailing Address - Fax:806-355-2453
Practice Address - Street 1:7306 SW 34TH AVE STE 3
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79121
Practice Address - Country:US
Practice Address - Phone:806-350-3010
Practice Address - Fax:806-350-3015
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP110355363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3437113-01Medicaid
TX397937ZHHLMedicare PIN