Provider Demographics
NPI:1316466394
Name:ARENALES, FLOR (OD)
Entity type:Individual
Prefix:DR
First Name:FLOR
Middle Name:
Last Name:ARENALES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13113 JOLIET ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-3626
Mailing Address - Country:US
Mailing Address - Phone:832-279-7805
Mailing Address - Fax:
Practice Address - Street 1:12140 EAST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-1918
Practice Address - Country:US
Practice Address - Phone:832-995-2613
Practice Address - Fax:713-330-8543
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9229T152W00000X
TX9229TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist