Provider Demographics
NPI:1316326291
Name:FLORES, JOSE EFRAIN (SA-C)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:EFRAIN
Last Name:FLORES
Suffix:
Gender:M
Credentials:SA-C
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Mailing Address - Street 1:4747 RESEARCH FOREST DR STE 180-420
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-4912
Mailing Address - Country:US
Mailing Address - Phone:936-697-2739
Mailing Address - Fax:
Practice Address - Street 1:4747 RESEARCH FOREST DR STE 180-420
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-4912
Practice Address - Country:US
Practice Address - Phone:936-697-2739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-25
Last Update Date:2015-06-02
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical