Provider Demographics
NPI:1831915032
Name:FLORES, DAISY DENISE (CNA)
Entity type:Individual
Prefix:
First Name:DAISY
Middle Name:DENISE
Last Name:FLORES
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 E SIOUX RD UNIT 207
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-1770
Mailing Address - Country:US
Mailing Address - Phone:956-315-8860
Mailing Address - Fax:
Practice Address - Street 1:801 E SIOUX RD UNIT 207
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-1770
Practice Address - Country:US
Practice Address - Phone:956-315-8860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA00081446773747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider