Provider Demographics
NPI:1013174176
Name:FLORES, SYLVIA ALICIA
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:ALICIA
Last Name:FLORES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 PITTSBURG ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79104-1422
Mailing Address - Country:US
Mailing Address - Phone:806-282-4257
Mailing Address - Fax:
Practice Address - Street 1:402 PITTSBURG ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79104-1422
Practice Address - Country:US
Practice Address - Phone:806-282-4257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other