MEDICARE: VICTORIA GUADALUPE FLORES SAHAGUN FNP-BC

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	363LF0000X	Family Nurse Practitioner	1084231	TX

General Provider Information

NPI Number	:	1558194282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA GUADALUPE FLORES SAHAGUN FNP-BC

Provider Business Mailing Address
First Line	:	3605 BLUE PIMPERNEL AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-4010
Country	:	US
Telephone Number	:	702-769-8285
Fax Number	:

Provider Business Practice Location Address
First Line	:	945 MCKINNEY ST # 19564
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-6308
Country	:	US
Telephone Number	:	877-399-3371
Fax Number	:	855-975-2548

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

Provider Enumeration Date	:	08/20/2024
Last Update Date	:	03/31/2026

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