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NPI Code Detail

MEDICARE: SAMANTHA FLORES

MEDICARE: SAMANTHA 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
1133V00000XRegistered Dietitian86155278TX

General Provider Information

NPI Number : 1922864354
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA FLORES
Provider Business Mailing Address
First Line : 22803 US HIGHWAY 281 N APT 11306
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-2430
Country : US
Telephone Number : 956-784-2373
Fax Number :
Provider Business Practice Location Address
First Line : 1870 W BITTERS RD STE 101
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78248-1827
Country : US
Telephone Number : 210-545-4422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2024
Last Update Date : 02/23/2024

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Directions to “ SAMANTHA FLORES ” Practice Location

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