Provider Demographics
NPI:1245862754
Name:CASIAS, MARIA FLORES
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:FLORES
Last Name:CASIAS
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 1:3600 S COUNTY ROAD 1230 # 279
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79706-3383
Mailing Address - Country:US
Mailing Address - Phone:432-222-6187
Mailing Address - Fax:
Practice Address - Street 1:3600 S COUNTY ROAD 1230 # 279
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706-3383
Practice Address - Country:US
Practice Address - Phone:432-222-6187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX194599164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse