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General NPI Number Information
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NPI Number | 1649497496
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Entity Type | Organization
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Legal Business Name | CARLOS E. FLORES AND ASSOCIATES P.C.
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/26/2010
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Provider Practice Location Address
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Address Line | 6301 NW LOOP 410 STE N18A TEXAS STATE OPTICAL
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City | SAN ANTONIO
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State | TX
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Zip | 78238-3810
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Country | US
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Telephone | 210-681-4720
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Fax | 210-523-6677
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Provider Business Mailing Address
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Address Line | 6301 NW LOOP 410 STE N18A TEXAS STATE OPTICAL
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City | SAN ANTONIO
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State | TX
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Zip | 78238-3810
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Country | US
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Telephone | 210-681-4720
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CARLOS ENRIQUE FLORES
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Credential | O.D.
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Telephone | 210-681-4720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5676T
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License Number State | TX
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