Provider Demographics
NPI:1932837184
Name:FLORES, MARIA CONSUELO
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:CONSUELO
Last Name:FLORES
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:PO BOX 3224
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78853-3224
Mailing Address - Country:US
Mailing Address - Phone:830-968-7439
Mailing Address - Fax:
Practice Address - Street 1:1700 UNIVERSITY BLVD APT 316
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-8008
Practice Address - Country:US
Practice Address - Phone:830-968-7439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-14
Last Update Date:2022-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program