Provider Demographics
NPI:1225177041
Name:FLORES, NORA V (CERT SURGICAL ASSIST)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:V
Last Name:FLORES
Suffix:
Gender:F
Credentials:CERT SURGICAL ASSIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6505 ELECTRA DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-7469
Mailing Address - Country:US
Mailing Address - Phone:817-455-2064
Mailing Address - Fax:
Practice Address - Street 1:6505 ELECTRA DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-7469
Practice Address - Country:US
Practice Address - Phone:817-455-2064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2019-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246ZC0007X
TXPA02544363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant