Provider Demographics
NPI:1780681494
Name:FLORES, ARMANDO JOEL (PA)
Entity Type:Individual
Prefix:
First Name:ARMANDO
Middle Name:JOEL
Last Name:FLORES
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 E. PRICE ROAD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-2908
Mailing Address - Country:US
Mailing Address - Phone:956-621-3593
Mailing Address - Fax:956-621-3689
Practice Address - Street 1:191 E. PRICE ROAD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-2908
Practice Address - Country:US
Practice Address - Phone:956-621-3593
Practice Address - Fax:956-621-3689
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA00756363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX195039604Medicaid
TX8K4974Medicare Oscar/Certification