MEDICARE: FLEX DIAGNOSTICS INC.

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
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1043670821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLEX DIAGNOSTICS INC.

Provider Business Mailing Address
First Line	:	5903 MILLER VALLEY DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77066-1511
Country	:	US
Telephone Number	:	936-718-4085
Fax Number	:

Provider Business Practice Location Address
First Line	:	5903 MILLER VALLEY DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77066-1511
Country	:	US
Telephone Number	:	936-718-4085
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HOMERO LOZANO
Credential	:
Telephone Number	:	936-718-4085

Provider Enumeration Date	:	03/07/2016
Last Update Date	:	03/08/2016

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Directions to “FLEX DIAGNOSTICS INC. ” Practice Location

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