Provider Demographics
NPI:1699399667
Name:FLORES ZURRICA, MARYANN (AUD, CCC-A)
Entity Type:Individual
Prefix:
First Name:MARYANN
Middle Name:
Last Name:FLORES ZURRICA
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 CARDINAL AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3401
Mailing Address - Country:US
Mailing Address - Phone:956-510-9132
Mailing Address - Fax:
Practice Address - Street 1:2101 S. CYNTHIA
Practice Address - Street 2:PLEX A
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503
Practice Address - Country:US
Practice Address - Phone:956-687-7896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-04
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81051231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist