Provider Demographics
NPI:1467753491
Name:FLORENCIO SINGSON M.D., PLLC
Entity Type:Organization
Organization Name:FLORENCIO SINGSON M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/INTERNAL MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:FLORENCIO
Authorized Official - Middle Name:R
Authorized Official - Last Name:SINGSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:936-598-2933
Mailing Address - Street 1:602 HURST ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CENTER
Mailing Address - State:TX
Mailing Address - Zip Code:75935-3414
Mailing Address - Country:US
Mailing Address - Phone:936-598-2933
Mailing Address - Fax:936-598-6208
Practice Address - Street 1:602 HURST ST
Practice Address - Street 2:SUITE 1
Practice Address - City:CENTER
Practice Address - State:TX
Practice Address - Zip Code:75935-3414
Practice Address - Country:US
Practice Address - Phone:936-598-2933
Practice Address - Fax:936-598-6208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-08
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4713174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1386694867OtherINDIVIDUAL NPI HAS ALREADY BEEN ASSIGNED
TX133358503Medicaid
TX00BX12OtherMEDICARE ID- UNSPECIFIED
TX00BX12OtherMEDICARE ID- UNSPECIFIED