Provider Demographics
NPI:1790297422
Name:FLORES MEDICAL LEGAL SERVICES LLC
Entity Type:Organization
Organization Name:FLORES MEDICAL LEGAL SERVICES LLC
Other - Org Name:TEXAS TELEHEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:361-887-8670
Mailing Address - Street 1:500 N SHORELINE BLVD STE 1002
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78401-0348
Mailing Address - Country:US
Mailing Address - Phone:361-887-8670
Mailing Address - Fax:361-887-8651
Practice Address - Street 1:500 N SHORELINE BLVD STE 1002
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78401-0348
Practice Address - Country:US
Practice Address - Phone:361-887-8670
Practice Address - Fax:361-887-8651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-03
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health