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NPI Code Detail

MEDICARE: SANDRA FLORES NP

MEDICARE:   SANDRA  FLORES  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner687933TX

General Provider Information

NPI Number : 1043549249
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA FLORES NP
Provider Business Mailing Address
First Line : 6417 CENTRAL PARK BLVD
Second Line :
City : ABILENE
State : TX
Zip : 79606-5884
Country : US
Telephone Number : 325-695-6370
Fax Number : 325-695-2720
Provider Business Practice Location Address
First Line : 6417 CENTRAL PARK BLVD
Second Line :
City : ABILENE
State : TX
Zip : 79606-5884
Country : US
Telephone Number : 325-695-6370
Fax Number : 325-695-2720
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2009
Last Update Date : 03/30/2019

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Directions to “ SANDRA FLORES NP” Practice Location

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