Provider Demographics
NPI:1083838494
Name:FLORES, VICTORIA M (MD)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:M
Last Name:FLORES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4515 SETON CENTER PKWY
Mailing Address - Street 2:SUITE 215-CREDENTIALING
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5290
Mailing Address - Country:US
Mailing Address - Phone:512-231-5548
Mailing Address - Fax:512-406-6216
Practice Address - Street 1:1807 W SLAUGHTER LN
Practice Address - Street 2:SUITE 490
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-6230
Practice Address - Country:US
Practice Address - Phone:512-282-8967
Practice Address - Fax:512-406-7351
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ34482207Q00000X
TXP9566207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX341969901Medicaid
AZ34482OtherLICENSE
TX341969902Medicaid
TX341969902Medicaid
TX341969901Medicaid
TX341969902Medicaid
382667YKXVMedicare PIN