Provider Demographics
NPI:1588325047
Name:FLORES PIMENTEL, MARIANA ARACELY
Entity type:Individual
Prefix:
First Name:MARIANA
Middle Name:ARACELY
Last Name:FLORES PIMENTEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8611 N MOPAC EXPY STE 300
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8319
Mailing Address - Country:US
Mailing Address - Phone:737-220-8200
Mailing Address - Fax:737-220-8180
Practice Address - Street 1:8611 N MOPAC EXPY STE 300
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8319
Practice Address - Country:US
Practice Address - Phone:737-220-8200
Practice Address - Fax:737-220-8180
Is Sole Proprietor?:No
Enumeration Date:2022-01-06
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT70336207WX0110X
ZZ8608704207WX0110X
TX48286207WX0110X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist