Provider Demographics
NPI:1528062973
Name:FLORES, EDUARDO D (MD)
Entity type:Individual
Prefix:
First Name:EDUARDO
Middle Name:D
Last Name:FLORES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5501 S EXPRESSWAY 77
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-3213
Mailing Address - Country:US
Mailing Address - Phone:956-428-5522
Mailing Address - Fax:956-430-3400
Practice Address - Street 1:2310 N ED CAREY DR
Practice Address - Street 2:1A
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8200
Practice Address - Country:US
Practice Address - Phone:956-428-5522
Practice Address - Fax:956-430-3400
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0347207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX100819505Medicaid
TX429567ZQG0Medicare UPIN
TX060036089OtherMEDICARE RAILROAD
TX100819503Medicaid
TX805291OtherBCBS
TX8F0214Medicare PIN