MEDICARE: DEBRA LYNDA FLORES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	60749	TX

General Provider Information

NPI Number	:	1235892704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA LYNDA FLORES

Provider Business Mailing Address
First Line	:	3200 RIVERFRONT DR STE 108
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-6560
Country	:	US
Telephone Number	:	817-887-9505
Fax Number	:	817-887-9509

Provider Business Practice Location Address
First Line	:	3200 RIVERFRONT DR STE 108
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-6560
Country	:	US
Telephone Number	:	817-887-9505
Fax Number	:	817-887-9509

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2021
Last Update Date	:	10/20/2021

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1285259622 — MS. BRITTANY LYNN STROUD LPC, NCC
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1053993204 — EMMA CLAIRE WILLIAMS
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1568037596 — ALISON HARVEY EWING APRN, FNP-C
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Directions to “ DEBRA LYNDA FLORES ” Practice Location

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