Provider Demographics
NPI:1346600426
Name:SANDRA E. FLORES, FNP-BC, STAFFING, LLC
Entity Type:Organization
Organization Name:SANDRA E. FLORES, FNP-BC, STAFFING, LLC
Other - Org Name:FLORES FAMILY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:956-207-0608
Mailing Address - Street 1:1218 W MONTE CRISTO RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78541-3873
Mailing Address - Country:US
Mailing Address - Phone:956-287-4925
Mailing Address - Fax:956-287-4815
Practice Address - Street 1:1218 W MONTE CRISTO RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78541-3873
Practice Address - Country:US
Practice Address - Phone:956-287-4925
Practice Address - Fax:956-287-4815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-02
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX703650363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty