Provider Demographics
NPI:1306488200
Name:SANCHEZ FLORES, JUAN ANDRES
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:ANDRES
Last Name:SANCHEZ FLORES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4221 BENNER STE 250
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-2220
Mailing Address - Country:US
Mailing Address - Phone:512-596-4883
Mailing Address - Fax:
Practice Address - Street 1:4221 BENNER STE 250
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-2220
Practice Address - Country:US
Practice Address - Phone:512-596-4883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-11
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA17676363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant