Provider Demographics
NPI:1245014356
Name:FLORES GARCIA, GABRIELA SOFIA
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:SOFIA
Last Name:FLORES GARCIA
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 1:3800 LA SIENNA PKWY APT 7102
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-6227
Mailing Address - Country:US
Mailing Address - Phone:585-363-8627
Mailing Address - Fax:
Practice Address - Street 1:7501 N 10TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-7720
Practice Address - Country:US
Practice Address - Phone:956-467-4526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX397411223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics