Healthcare Provider Details

I. General information

NPI: 1609930809
Provider Name (Legal Business Name): MICHAEL A FLORES M.D., P.A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 10/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 N SALINAS BLVD SUITE B
DONNA TX
78537-2926
US

IV. Provider business mailing address

102 N SALINAS BLVD SUITE B
DONNA TX
78537-2926
US

V. Phone/Fax

Practice location:
  • Phone: 956-377-5400
  • Fax: 956-377-5509
Mailing address:
  • Phone: 956-377-5400
  • Fax: 956-377-5509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. JOANNE CAMPOS
Title or Position: ADMINISTRATOR
Credential:
Phone: 956-377-5400