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NPI Code Detail

MEDICARE: MR. KENNETH M FLORES

MEDICARE:  MR. KENNETH M FLORES
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
1332BX2000XOxygen Equipment & Supplies (DME)0079939TX

General Provider Information

NPI Number : 1356423263
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KENNETH M FLORES
Provider Business Mailing Address
First Line : 200 E EXPRESSWAY 83 STE L-2
Second Line :
City : PHARR
State : TX
Zip : 78577-6506
Country : US
Telephone Number : 956-781-5800
Fax Number : 956-781-5873
Provider Business Practice Location Address
First Line : 200 E EXPRESSWAY 83 STE L-2
Second Line :
City : PHARR
State : TX
Zip : 78577-6506
Country : US
Telephone Number : 956-781-5800
Fax Number : 956-781-5873
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 01/14/2008

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Directions to “ MR. KENNETH M FLORES ” Practice Location

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