Provider Demographics
NPI:1255365672
Name:FLORES, LAURA (DC)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:FLORES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2205 SUNRISE LN
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-2755
Mailing Address - Country:US
Mailing Address - Phone:972-416-2101
Mailing Address - Fax:
Practice Address - Street 1:3108 OLD DENTON RD
Practice Address - Street 2:SUITE 111
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-3961
Practice Address - Country:US
Practice Address - Phone:214-432-3080
Practice Address - Fax:972-416-2101
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10188111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor