MEDICARE: DR. LAURA FLORES DPT

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	2251X0800X	Orthopedic Physical Therapist	1301171	TX

General Provider Information

NPI Number	:	1104325398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA FLORES DPT

Provider Business Mailing Address
First Line	:	8433 OHARA LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76123-1511
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6407 SOUTHWEST BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132
Country	:	US
Telephone Number	:	817-423-5611
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2018
Last Update Date	:	06/17/2021

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Directions to “ DR. LAURA FLORES DPT” Practice Location

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