Healthcare Provider Details

I. General information

NPI: 1780681494
Provider Name (Legal Business Name): ARMANDO JOEL FLORES PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 04/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 E. PRICE ROAD
BROWNSVILLE TX
78521-2908
US

IV. Provider business mailing address

191 E. PRICE ROAD
BROWNSVILLE TX
78521-2908
US

V. Phone/Fax

Practice location:
  • Phone: 956-621-3593
  • Fax: 956-621-3689
Mailing address:
  • Phone: 956-621-3593
  • Fax: 956-621-3689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA00756
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: