Flores, Elida L
Flores, Elida L is an individual health care provider with primary practice located at 6421 Mccart Ave , Fort Worth TX 76133-4702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Flores, Elida L can be contacted via phone (817) 263-7500.Contact Information
Primary practice address
6421 Mccart Ave
Fort Worth TX 76133-4702
Phone: (817) 263-7500
Fax: (817) 423-4140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | K3727 | Texas |
Profile Details
| NPI number | 1255339024 |
|---|---|
| LBN Legal business name | Flores, Elida L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Apr 4th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255339024 | NPPES |
| Texas | Other | 044722907 | CSHCN |
| Texas | MEDICAID | 044722906 | CSHCN |
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