Provider Demographics
NPI:1376769968
Name:FLORES, ELOY J (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ELOY
Middle Name:J
Last Name:FLORES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2300 W COMMERCE ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-3839
Mailing Address - Country:US
Mailing Address - Phone:210-922-0103
Mailing Address - Fax:210-922-0162
Practice Address - Street 1:6315 S ZARZAMORA ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78211-3218
Practice Address - Country:US
Practice Address - Phone:210-924-9254
Practice Address - Fax:210-977-9326
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2008-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX041741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX94982OtherCARELINK
TX8K1410Medicare PIN