Provider Demographics
NPI:1639289135
Name:FLORES-PERKINS, SILVIA PATRICIA (MD)
Entity Type:Individual
Prefix:
First Name:SILVIA
Middle Name:PATRICIA
Last Name:FLORES-PERKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SILVIA
Other - Middle Name:PATRICIA
Other - Last Name:FLORES-OCTAVO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:205 E UNIVERSITY AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-6821
Mailing Address - Country:US
Mailing Address - Phone:877-800-5722
Mailing Address - Fax:512-869-2940
Practice Address - Street 1:123 ED SCHMIDT BLVD
Practice Address - Street 2:SUITE 140
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-5585
Practice Address - Country:US
Practice Address - Phone:877-800-5722
Practice Address - Fax:512-846-2072
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2017-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9529208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5444866Medicaid
TN5444866Medicaid