Healthcare Provider Details

I. General information

NPI: 1508710245
Provider Name (Legal Business Name): RICKY LYNN FLORY FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28517 SPRING TRAILS RDG STE 110
SPRING TX
77386-4357
US

IV. Provider business mailing address

3481 STABLEWOOD GROVE LN
SPRING TX
77386-4844
US

V. Phone/Fax

Practice location:
  • Phone: 281-385-8189
  • Fax:
Mailing address:
  • Phone: 346-373-0555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1230558
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number879992
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: