Provider Demographics
NPI:1790961415
Name:FLORES, VICTOR (PT)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:
Last Name:FLORES
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:VICTOR
Other - Middle Name:
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 4366
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-4366
Mailing Address - Country:US
Mailing Address - Phone:956-622-5493
Mailing Address - Fax:956-720-0859
Practice Address - Street 1:602 KAMALI DR.
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-3223
Practice Address - Country:US
Practice Address - Phone:956-622-5493
Practice Address - Fax:956-720-0859
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1149560225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1149560OtherLICENSE NUMBER
TX1149560OtherLICENSE NUMBER