Provider Demographics
NPI:1609930809
Name:MICHAEL A FLORES M.D., P.A
Entity Type:Organization
Organization Name:MICHAEL A FLORES M.D., P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-377-5400
Mailing Address - Street 1:102 N SALINAS BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-2926
Mailing Address - Country:US
Mailing Address - Phone:956-377-5400
Mailing Address - Fax:956-377-5509
Practice Address - Street 1:102 N SALINAS BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-2926
Practice Address - Country:US
Practice Address - Phone:956-377-5400
Practice Address - Fax:956-377-5509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1648495-01Medicaid
TX00355WMedicare PIN
TXY06786Medicare UPIN