MEDICARE: RONALD R FLORES LCSW-S

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	1041C0700X	Clinical Social Worker	38353	TX
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1386972180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD R FLORES LCSW-S

Provider Business Mailing Address
First Line	:	5131 TIMBER GALE ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78250-4304
Country	:	US
Telephone Number	:	210-860-5086
Fax Number	:

Provider Business Practice Location Address
First Line	:	5024 CONCORD RDG
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1010
Country	:	US
Telephone Number	:	210-860-5086
Fax Number	:

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

Provider Enumeration Date	:	12/07/2009
Last Update Date	:	07/19/2024

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Directions to “ RONALD R FLORES LCSW-S” Practice Location

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