Provider Demographics
NPI:1851151310
Name:FLORES, CESAR JR (PTA)
Entity Type:Individual
Prefix:
First Name:CESAR
Middle Name:
Last Name:FLORES
Suffix:JR
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10402 TOWN AND COUNTRY WAY APT 342
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1175
Mailing Address - Country:US
Mailing Address - Phone:281-832-9537
Mailing Address - Fax:
Practice Address - Street 1:10402 TOWN AND COUNTRY WAY APT 342
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1175
Practice Address - Country:US
Practice Address - Phone:281-832-9537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2178493225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant