Provider Demographics
NPI: | 1598931263 |
---|---|
Name: | FLORES GUARDADO, FRANCISCO JAVIER (MD) |
Entity type: | Individual |
Prefix: | |
First Name: | FRANCISCO |
Middle Name: | JAVIER |
Last Name: | FLORES GUARDADO |
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: | 10007 HUEBNER RD STE 402 |
Mailing Address - Street 2: | |
Mailing Address - City: | SAN ANTONIO |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 78240-1640 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 210-692-0361 |
Mailing Address - Fax: | 210-692-0151 |
Practice Address - Street 1: | 10007 HUEBNER RD STE 402 |
Practice Address - Street 2: | |
Practice Address - City: | SAN ANTONIO |
Practice Address - State: | TX |
Practice Address - Zip Code: | 78240-1640 |
Practice Address - Country: | US |
Practice Address - Phone: | 210-692-0361 |
Practice Address - Fax: | 210-692-0151 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2008-05-02 |
Last Update Date: | 2020-04-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | P4049 | 207RC0200X, 207RP1001X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
TX | 284584402 | Medicaid |