Provider Demographics
NPI:1386694867
Name:SINGSON, FLORENCIO (MD)
Entity type:Individual
Prefix:DR
First Name:FLORENCIO
Middle Name:
Last Name:SINGSON
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 1:602 HURST ST
Mailing Address - Street 2:SUITE #1
Mailing Address - City:CENTER
Mailing Address - State:TX
Mailing Address - Zip Code:75935-3414
Mailing Address - Country:US
Mailing Address - Phone:936-598-2933
Mailing Address - Fax:936-598-6208
Practice Address - Street 1:602 HURST ST
Practice Address - Street 2:SUITE #1
Practice Address - City:CENTER
Practice Address - State:TX
Practice Address - Zip Code:75935-3414
Practice Address - Country:US
Practice Address - Phone:936-598-2933
Practice Address - Fax:936-598-6208
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4713174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1333585-03Medicaid
TX1333585-03Medicaid
TXB26476Medicare UPIN