Provider Demographics
NPI:1659871366
Name:FLORES, RUBY JAY (BS SLP-ASSISTANT)
Entity Type:Individual
Prefix:
First Name:RUBY
Middle Name:JAY
Last Name:FLORES
Suffix:
Gender:F
Credentials:BS SLP-ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6507 SAM RAYBURN DR
Mailing Address - Street 2:
Mailing Address - City:MANVEL
Mailing Address - State:TX
Mailing Address - Zip Code:77578-1518
Mailing Address - Country:US
Mailing Address - Phone:832-317-4075
Mailing Address - Fax:
Practice Address - Street 1:6507 SAM RAYBURN DR
Practice Address - Street 2:
Practice Address - City:MANVEL
Practice Address - State:TX
Practice Address - Zip Code:77578-1518
Practice Address - Country:US
Practice Address - Phone:832-317-4075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-19
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX348532355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty