Provider Demographics
NPI:1730383399
Name:FLORES, LISA RENEE (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:RENEE
Last Name:FLORES
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Gender:F
Credentials:MD
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Mailing Address - Street 1:7950 FLOYD CURL DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3919
Mailing Address - Country:US
Mailing Address - Phone:210-614-4673
Mailing Address - Fax:210-615-1321
Practice Address - Street 1:7950 FLOYD CURL DR
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3919
Practice Address - Country:US
Practice Address - Phone:210-614-4673
Practice Address - Fax:210-615-1321
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2015-06-01
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Provider Licenses
StateLicense IDTaxonomies
TXN2059207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX204261602Medicaid
TX204261602Medicaid