MEDICARE: ELIDA L FLORES MD

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	208000000X	Pediatrics Physician	K3727	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	044722907	OTHER	TX	CSHCN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255339024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIDA L FLORES MD

Provider Business Mailing Address
First Line	:	PO BOX 99371
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76199-0371
Country	:	US
Telephone Number	:	682-885-1855
Fax Number	:	682-885-7347

Provider Business Practice Location Address
First Line	:	6421 MCCART AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-4702
Country	:	US
Telephone Number	:	817-263-7500
Fax Number	:	817-423-4140

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

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	01/25/2026

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Directions to “ ELIDA L FLORES MD” Practice Location

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