Provider Demographics
NPI:1093029340
Name:FLORES, RENE XAVIER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RENE
Middle Name:XAVIER
Last Name:FLORES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7811 MCPHERSON RD
Mailing Address - Street 2:PHARMACY
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-2802
Mailing Address - Country:US
Mailing Address - Phone:956-712-8053
Mailing Address - Fax:
Practice Address - Street 1:7811 MCPHERSON RD
Practice Address - Street 2:PHARMACY
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-2802
Practice Address - Country:US
Practice Address - Phone:956-712-8053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48635183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist