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NPI Code Detail

MEDICARE: PATRICK HENRY FLORES D.O.

MEDICARE: PATRICK HENRY FLORES D.O.
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
1207PE0004XEmergency Medical Services (Emergency Medicine) PhysicianDO1486NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DO1486OTHERNVNV MEDICAL LICENSE
2036-119512OTHERILLICENSE
3CS18031OTHERNVNV PHARMACY CERTIFICATE

General Provider Information

NPI Number : 1104087287
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK HENRY FLORES D.O.
Provider Business Mailing Address
First Line : 3100 N TENAYA WAY
Second Line : POB 1569
City : LAS VEGAS
State : NV
Zip : 89128-0436
Country : US
Telephone Number : 702-255-5025
Fax Number : 702-671-6883
Provider Business Practice Location Address
First Line : 3100 N TENAYA WAY
Second Line : POB 1569
City : LAS VEGAS
State : NV
Zip : 89128-0436
Country : US
Telephone Number : 702-255-5025
Fax Number : 702-671-6883
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2008
Last Update Date : 03/07/2023

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Directions to “ PATRICK HENRY FLORES D.O.” Practice Location

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