Provider Demographics
NPI:1285946038
Name:FLORES, DONELLE MARIE (MS)
Entity type:Individual
Prefix:MS
First Name:DONELLE
Middle Name:MARIE
Last Name:FLORES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 ROSS ST
Mailing Address - Street 2:SUITES K & L
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-4421
Mailing Address - Country:US
Mailing Address - Phone:956-399-4100
Mailing Address - Fax:956-399-4107
Practice Address - Street 1:1145 ROSS ST
Practice Address - Street 2:SUITES K & L
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-4421
Practice Address - Country:US
Practice Address - Phone:956-399-4100
Practice Address - Fax:956-399-4107
Is Sole Proprietor?:No
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103475235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist