Provider Demographics
NPI:1306922794
Name:FLORES, LUIS FELIPE (MD)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:FELIPE
Last Name:FLORES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 W DEER TRL
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78363-2748
Mailing Address - Country:US
Mailing Address - Phone:956-240-0356
Mailing Address - Fax:
Practice Address - Street 1:1311 E GENERAL CAVOZOS BLVD
Practice Address - Street 2:SUITE O
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363
Practice Address - Country:US
Practice Address - Phone:361-516-1700
Practice Address - Fax:361-516-1705
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0721208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF18710Medicare UPIN