Provider Demographics
NPI:1457748071
Name:DOCTORS ON CALL OF TEXAS
Entity type:Organization
Organization Name:DOCTORS ON CALL OF TEXAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:361-549-4351
Mailing Address - Street 1:500 N WATER ST STE 515
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78401-0213
Mailing Address - Country:US
Mailing Address - Phone:361-549-4351
Mailing Address - Fax:
Practice Address - Street 1:500 N WATER ST STE 515
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78401-0213
Practice Address - Country:US
Practice Address - Phone:361-549-4351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-21
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QU0200X, 261QC1500X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health