Provider Demographics
NPI:1780632554
Name:FLORES SCHECHINGER, TINA (MD)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:
Last Name:FLORES SCHECHINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 E 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:GLIDDEN
Mailing Address - State:IA
Mailing Address - Zip Code:51443-0000
Mailing Address - Country:US
Mailing Address - Phone:712-659-3888
Mailing Address - Fax:
Practice Address - Street 1:405 S CLARK ST STE 230
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:IA
Practice Address - Zip Code:51401-3066
Practice Address - Country:US
Practice Address - Phone:712-792-2222
Practice Address - Fax:712-792-3875
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA39940207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1780632554Medicaid