Provider Demographics
NPI:1316132335
Name:MIGUEL FLORES & ASSOCIATES, P.A.
Entity type:Organization
Organization Name:MIGUEL FLORES & ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:JUAN
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:936-760-2300
Mailing Address - Street 1:804 W DALLAS ST
Mailing Address - Street 2:STE #4
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-2248
Mailing Address - Country:US
Mailing Address - Phone:936-760-2300
Mailing Address - Fax:936-756-7331
Practice Address - Street 1:804 W DALLAS ST
Practice Address - Street 2:STE #4
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-2248
Practice Address - Country:US
Practice Address - Phone:936-760-2300
Practice Address - Fax:936-756-7331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE7398207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX096440503Medicaid
TX00870VMedicare PIN