Provider Demographics
NPI:1023282696
Name:FLORES, ROLAND ALEXANDER JR (MD)
Entity type:Individual
Prefix:DR
First Name:ROLAND
Middle Name:ALEXANDER
Last Name:FLORES
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1709 DRYDEN RD.
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2400
Mailing Address - Country:US
Mailing Address - Phone:713-798-7356
Mailing Address - Fax:713-798-6374
Practice Address - Street 1:1709 DRYDEN RD.
Practice Address - Street 2:SUITE 1700
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2400
Practice Address - Country:US
Practice Address - Phone:713-798-7356
Practice Address - Fax:713-798-6374
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM8653207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX195637701Medicaid
TX8BH920OtherBLUE CROSS
TXP00689027OtherRAILROAD MEDICARE