Provider Demographics
NPI:1851302574
Name:CLAY-FLORES, JOSE D (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:D
Last Name:CLAY-FLORES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14100 SAN PEDRO AVE
Mailing Address - Street 2:SUITE 412
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-4361
Mailing Address - Country:US
Mailing Address - Phone:210-281-8669
Mailing Address - Fax:210-314-5044
Practice Address - Street 1:14100 SAN PEDRO AVE STE 412
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-4361
Practice Address - Country:US
Practice Address - Phone:210-281-8669
Practice Address - Fax:210-314-5044
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL4307208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXL4307OtherMEDICAL LICENSE
TX8R6761OtherBLUE CROSS BLUE SHIELD
TX2377690OtherUNITED HEALTHCARE INS
TX160504423727OtherHUMANA INSURANCE