MEDICARE: OSCAR FLORES LSA

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	246ZC0007X	Surgical Assistant	SA00829	TX
2	246ZC0007X	Surgical Assistant	09-256	TX

General Provider Information

NPI Number	:	1952441131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OSCAR FLORES LSA

Provider Business Mailing Address
First Line	:	PO BOX 2550
Second Line	:
City	:	ROWLETT
State	:	TX
Zip	:	75030-2550
Country	:	US
Telephone Number	:	214-227-2457
Fax Number	:	214-764-0880

Provider Business Practice Location Address
First Line	:	6505 ELECTRA DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-7469
Country	:	US
Telephone Number	:	214-227-2457
Fax Number	:	214-764-0880

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

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	07/22/2021

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Directions to “ OSCAR FLORES LSA” Practice Location

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