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NPI Code Detail

MEDICARE: MS. JESSICA YVETTE FLORES PA

MEDICARE: MS. JESSICA YVETTE FLORES PA
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
1363A00000XPhysician Assistant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA05952OTHERTXTEXAS LICENSE

General Provider Information

NPI Number : 1912133992
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JESSICA YVETTE FLORES PA
Provider Business Mailing Address
First Line : 214 CHAPARRAL BLVD
Second Line :
City : RIO GRANDE CITY
State : TX
Zip : 78582-4605
Country : US
Telephone Number : 956-263-1830
Fax Number : 956-263-1836
Provider Business Practice Location Address
First Line : 214 CHAPARRAL BLVD
Second Line :
City : RIO GRANDE CITY
State : TX
Zip : 78582-4605
Country : US
Telephone Number : 956-263-1830
Fax Number : 956-263-1836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2009
Last Update Date : 07/15/2019

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Directions to “ MS. JESSICA YVETTE FLORES PA” Practice Location

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