Healthcare Provider Details

I. General information

NPI: 1497270920
Provider Name (Legal Business Name): JOSEPH FLORES FNP-C, APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2017
Last Update Date: 02/11/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 FANNIN ST STE 1400
HOUSTON TX
77030-1512
US

IV. Provider business mailing address

6400 FANNIN ST FL 14
HOUSTON TX
77030-1521
US

V. Phone/Fax

Practice location:
  • Phone: 713-704-4730
  • Fax:
Mailing address:
  • Phone: 713-704-3450
  • Fax: 713-704-9938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP134252
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: