Provider Demographics
NPI:1922682061
Name:FLORES, LAURA (LMT)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:FLORES
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 S HOOD ST
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-3459
Mailing Address - Country:US
Mailing Address - Phone:281-331-5088
Mailing Address - Fax:281-331-7473
Practice Address - Street 1:804 S HOOD ST
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-3459
Practice Address - Country:US
Practice Address - Phone:281-331-5088
Practice Address - Fax:281-331-7473
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT108695225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist