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General NPI Number Information
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NPI Number | 1770884827
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Entity Type | Organization
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Legal Business Name | MARCO T. FLOREZ, M.D., P.A.
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Dates
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Enumeration Date | 11/05/2010
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 306 W PARK ST
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City | PHARR
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State | TX
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Zip | 78577-4745
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Country | US
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Telephone | 956-781-2953
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Fax | 956-781-1733
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Provider Business Mailing Address
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Address Line | 306 W PARK ST
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City | PHARR
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State | TX
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Zip | 78577-4745
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Country | US
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Telephone | 956-781-2953
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Fax | 956-781-1733
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MARCO T FLOREZ
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Credential | M.D.
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Telephone | 956-781-2953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F1010
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License Number State | TX
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